C.M. Smith's analysis of provider network discounts goes beyond solely determining the "largest" In-network discount. Our analysis includes a comprehensive review of actual plan savings:
Reviewing ADA procedure codes that represent a significant portion of an employer's specific charges. Based on a leading dental carrier's claim administration experience, there are 43 ADA procedure codes that account for almost 80% of claims. Focusing on specific utilization will greatly enhance the evaluation of network discounts.
Weighting of network fee schedule to account for utilization statistics.
Understanding some of the administrative processes behind network reimbursement that could affect plan savings:
- Types of fee schedules - Filed fee system - Basis for the fee schedule (Geographic Zones) - Fee schedule updates - Contract requirements.
Allow the dental specialists at C.M. Smith to conduct a review of your dental program. We're glad to help.
