Understanding Preferred Provider (PPO) Plans

Some PPO plans pay:

Write off the difference between the plan’s allowed amount and the practice fee. Typically, you can bill the patient the difference between the insurance payment and the insurance plan’s allowed amount.

You can also automatically handle any risk and development write-off required by a PPO.

The write-off:

To estimate insurance payments for flat fee PPO plans:

Specify whether a deductible applies to each procedural class when entering dental PPO plans.

TipTip

If the plan pays something other than a percentage of your fees, set up bluebook entries. If the fees equal the percentage plan allotted amount, you do not need to set up a bluebook entry.

 

Related Topics

Estimating Insurance for PPO Percentage Plans

Estimating Insurance for Flat Fee PPO Plans