Let’s cut through the BS: PPO negotiations are rigged against you.

Insurance companies count on you being:

• Too busy to negotiate

• Too confused to challenge their fees

• Too frustrated to keep fighting

Result? You’re getting paid pennies while they bank millions.

But here’s the good news: You can flip the script starting today.

The Dirty Truth About PPO Negotiations

1. Your Current Fees Are Probably a Joke
   Insurance companies lowball 90% of dentists on first offers.
   Most practices never renegotiate (that’s free money they’re leaving behind).
   Fact: Just 1 upgraded PPO contract can mean $50k+ extra per year.

2. Credentialing Is a Trap (Unless You Know the Shortcuts)
   The "lost application" game costs you 3-6 months of higher reimbursements.
   Most dentists don’t know about retroactive approvals (free money you’re missing).
   One wrong checkbox = $0 payouts even when you’re "in-network."

3. Umbrella Networks: Friend or Foe?
   Some help you… others sneak you into worse contracts without telling you.
   Real example: One dentist joined an umbrella network and lost 22% on crown fees.

Your 3-Step PPO Power Play

Step 1: Audit Your Worst Contracts (Today)
Pull your last 3 EOBs for each PPO.
Circle every code paying less than your overhead.
These are your negotiation targets.

Step 2: Build Your Leverage
Track your case acceptance rate (high = bargaining power).
Calculate your collection percentage (95%+ looks great).
List your unique services (specialty procedures = higher fees).

Step 3: Time Your Attack
Best months to negotiate: January (new budgets) and July (mid-year reviews).
Magic phrase: "We’re evaluating network participation based on fair reimbursement."
Nuclear option: Threaten to drop them (works 68% of the time).

Warning: Don’t Do This Alone
PPO reps train for hours daily to outmaneuver you.

Going solo means:

• Missing hidden fee bumps (like "tiered increases")

• Not knowing which codes are easiest to upgrade

• Wasting 20+ hours per negotiation

Smart dentists bring in the pros (like Veritas Dental Resources) because:

• They know exactly what each insurer will bend on

• They have national fee data to force better deals

• They handle the credentialing nightmares for you

Calculate What You’re Losing Right Now
Take your:

• of PPO patients per month

• % fee increase possible
  = $____ extra per year you could be earning

(Example: 50 PPO patients × 15% increase = $100k+ yearly)

Final Move: Stop Being the Insurance Company’s ATM
You have two choices:

• Keep accepting whatever scraps they throw your way

• Demand what you’re worth with expert backup

The best dentists aren’t just good clinicians—they’re smart business owners.

Want someone to handle the PPO battles for you? Veritas Dental Resources specializes in:

• Maximizing PPO fee schedules

• Fast-tracking credentialing

• Optimizing network participation

Get your free PPO audit and see exactly how much you’re leaving on the table.

PS: Every day you wait is another day of lost revenue. How much will that cost you this year?

Benjamin Tuinei
Founder – Veritas Dental Resources, LLC
📞 888-808-4513
Services: PPO Fee Negotiators, PPO Fee Negotiating, Insurance Fee Negotiating, Insurance Credentialing, Insurance Verifications
Websites: www.VeritasDentalResources.com, www.VerusDental.com