You negotiated the fee increase. Your own fee schedule may be quietly cancelling it. The Rule Most Practices Forget Dental claims are paid at the lesser of your UCR fee or your contracted fee. Always. If you negotiate a $1,150 contracted fee on a crown but your office fee for that crown is $1,100, the […]
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What is a UCR Fee Schedule?
The letters “UCR” in insurance stand for usual, customary, and reasonable. These are the fee guidelines by which an out-of-network dentist is allowed to charge a patient if the dentist is not a member of the patient’s PPO network. This does affect the patient’s claim payment and how much they are to pay out-of-pocket. You […]
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