Because most don’t realize they’re playing chess, not checkers. Insurance companies know the rules, the moves, and the long game. Dentists? They’re often entering the game blindfolded. At PPO Negotiation Solutions, we level the playing field by understanding the strategy behind every move—network tiers, rental agreements, fee schedules, and loopholes that can cost practices thousands.

Whether you’re buying a practice and need clean credentialing with strong fee schedules…
Or selling a legacy built on sweat, sacrifice, and high-quality care…
Or you’re simply tired of working twice as hard as your out-of-network neighbor just to get paid the same…

We help you play to win. Not by luck. But by knowing the rules—and using them to your advantage.

Yesterday. But today works too. PPO negotiation isn’t a quick fix—it’s a strategic process that unfolds over time. By starting now, we can position your practice for a higher valuation and stronger buyer appeal. Think of it as your long game—like setting up a checkmate 10 moves ahead. The earlier you plan, the more leverage you have.

Absolutely—and more than you think. If your practice produces $1M a year but collects at 65%, buyers aren’t just buying your patient base—they’re buying your PPO contracts and their hidden limitations.

We help sellers strategically renegotiate PPO fees before listing, so they’re not leaving money on the table. Think of it like positioning your queen before the final play: the stronger your board, the higher your value.

Our fees are based on the scope of services required to help you win your game. Like chess, every practice has a different starting position—so we tailor our pricing to your goals. We offer payment options and, unlike many firms, our process has a clear start and stop. No endless monthly fees. No wondering if it’s worth it. Just results, strategy, and a finish line.

Absolutely. Delta can feel like a fortress—but we know the board, the players, and the rules. If a Delta move equals “checkmate” for your practice, we’ll identify that opportunity and guide you in making the right strategic move. Like any great chess play, it’s all about timing and positioning—and that’s where we shine.

While the initial assessment phase takes about 45–90 days—often due to insurance carrier response time and negotiation review—we do charge a minimal setup fee. On our end, the cost to complete this phase is typically around $2,200, but we absorb the bulk of it because we want this to be a trial period for the practice to gauge our team’s follow-through, knowledge, and negotiation outcomes.

If your practice qualifies for significant increases (which we will confirm at the end of this phase), we immediately transition into project mode and start rocking and rolling.

Yes—we offer a guarantee of gains. After completing the project, we conduct a thorough review of your practice’s results. If your realized gains fall short of our projections, we’ll issue a refund for the difference in what was promised versus what was delivered—per our Statement of Work.

That said, we’re often conservative in our estimates, and most practices end up performing 3–5% higher than projected.

Our approach is grounded in hard data, practical experience, and a deep understanding of how insurance networks operate. Because we have such a strong national presence and high project volume, we’ve learned how carriers play the game—we anticipate their next moves, just like in a chess match.

We also benchmark certain projects as case studies to analyze patterns and trends, giving us insight that most firms simply don’t have.

This is one of the most common concerns—and we’re ready with real answers. During the analysis phase, we can often calculate which specific group(s) of patients may go out-of-network, while still maintaining out-of-network benefits.

Let’s say we project you’ll gain a 24% increase in reimbursements by making a strategic move—while only 1% of your patients may be affected. That move could equate to $80,000+ in additional claim revenue. We present those scenarios with clear numbers so you can make data-driven decisions—not emotional ones.

Each case is unique. Some projects can be completed in as little as 6 months, while others may require 12–18 months, depending on your existing contracts and market factors. But we don’t wait until the end to deliver results—many practices begin seeing meaningful gains as early as 3 months into the project, which often offsets the total cost of the engagement.

Yes. We handle credentialing for new associates and additional locations. Each state has different rules, and in some cases, a provider’s NPI history with previous locations can affect credentialing timelines. We account for these variables to prevent delays and ensure smooth transitions.

This is a common—and frustrating—symptom. There are many potential causes:

• Participation in too many overlapping networks that undercut each other
• Low MAC plans where your fees don’t impact what you’re paid
• Improper claim submission patterns that trigger reduced reimbursement

Our analysis phase takes all of this into account. We look under the hood to identify what’s really happening and build a plan that corrects course.