In-Network vs. Fee-for-Service: How to Make Dental Insurance Work | Dr. Travis Campbell

Should your practice go in network, stay fee-for-service, or land somewhere in between? Dr. Travis Campbell, the Dental Insurance Guy, went from 40-plus insurance plans down to three, then went back in network in 2019 and grew collections 50% while doubling profits. He explains network leasing, why most denials come from your documentation, what DHMO plans really pay for, and how AI is changing claims.

In this episode:
- How Travis became the Dental Insurance Guy
- Going back in network: what changed in his practice
- Contracted with three plans, in network with dozens: network leasing
- In network or fee-for-service? Start with your personality
- Why hybrid offices are hard on your team
- DHMO plans: unbundling and capitation explained
- Is any procedure unprofitable on a PPO fee schedule?
- Why insurance reviewers get in trouble for denying claims
- AI in dental insurance and x-ray reading
- Should a new practice take insurance?
- The number every practice should track: treatment acceptance

A special after-hours episode with Jennifer and Chad.

Dr. Travis Campbell owns a general practice he opened right out of school 15 years ago, lectures on dental insurance, and wrote a book on it. More at https://dentalinsuranceguy.com

Chapters:
0:00 Intro: a special after-hours episode
1:22 Meeting at implant training
3:00 Getting past the fear of implants
3:49 The "cover screw" in the sinus
5:36 How Travis became the Dental Insurance Guy
6:55 Back in network: collections up 50%
9:12 Writing an insurance book during COVID
10:34 Network leasing: in network with dozens
12:19 In network or fee-for-service?
15:55 Can you mix in-network and fee-for-service?
17:23 Three ways to work with insurance
17:47 DHMO plans: unbundling and capitation
19:36 Is anything unprofitable on a PPO?
23:48 A fee-for-service view: words that keep patients
27:44 Why reviewers get in trouble for denials
29:44 AI in dental insurance
33:19 How to stay current on insurance
35:19 Should new practices take insurance?
37:17 Track your treatment acceptance
40:47 Closing

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