Insurance Untangled

Usual and Customary Fee trends and How setting fees can impact your insurance reimbursements


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In this episode, Ben Tuinei and Tessina Bullock explore the impact of usual and customary fees (UCF) on dental practice reimbursements. They discuss how setting fees at the 80th or 90th percentile can improve insurance reimbursement rates, especially in areas with high living costs like Utah. They highlight the benefits of in-office membership plans as an alternative to traditional insurance, which can increase treatment acceptance among uninsured patients. The episode closes with advice on using resources like Fair Health Consumer and the National Dental Advisory Service to set competitive fees better.

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Insurance UntangledBy Naren Arulrajah