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 🎧 Listen to the podcast: Apple Podcasts: https://podcasts.apple.com/us/podcast/dentists-in-the-know/id1543254763 Spotify: https://open.spotify.com/show/2Elfj6LX0hCUyp0AgdTsij 📺 Make sure you subscribe to catch new episodes live every Wednesday at 8pm ET! https://www.youtube.com/@dentistsintheknow 🌐 Check out our brand new website: https://dentistsintheknow.com 🌟 Stay up to date on all the latest dental trends when you follow the DINKs: https://fanflet.com/dinks/social-2