WHAT WILL BENEFIT YOUR PRACTICE MOST: IN-NETWORK VS OUT-OF-NETWORK INSURANCE

Many practices are unsure of the pros and cons of being in-network vs out-of-network. Which has the higher cost? Accommodating in-network rates or chasing patients for their payment? It all depends on what your practice needs.

In-Network

As a dental provider, being in-network means you must negotiate with insurance companies and accept their rates. Patients are responsible for paying the difference between the provider’s full charge and the plan’s approved amount. Generally, patients pay less with in-network providers, but providers may also be paid less per visit.
On the other hand, patients often seek out dentists that take their insurances, so getting patients will be easier. Insurances provide better customer service for enrolled providers, they might not feel obligated to provide any information if you are out-of-network.

Out-of-Network

Practices that are out-of-network (OON) don’t accept the insurance fee schedule and are either fee-for-service or receive the patient’s OON payment benefits, they can also charge any balance as patient responsibility. Many insurance companies