Transition/ Acquisition/ Startup

TIN Change Management:

  • Verify provider network participation
  • Complete required TIN change forms



  • Unlimited dental carrier credentialing, re-credentialing and documentation to add, delete and change participation in all plans
  • Create central digital storage location for all provider information. Identify any missing information needed for credentialing. Ensure provider participation by plan in each office
  • Oversight of compliance by provider of state license, DEA, and other required certificates to ensure compliance


PPO Insurance Negotiation:

  • Verify accuracy of current fee schedules per provider.
  • Negotiate with insurance carriers on client’s behalf to secure higher reimbursement levels.
  • Provide a detailed recommendation illustrating increases per code schedule.
  • Upon receipt of approved recommendation ensure implementation of effective date.


UCR Review:

  • Generate and deliver a UCR report detailing ADA code fees in desired zip code.


EFT Set Up & Transition:

  • Contact insurance companies to verify required documentation/portal needed
  • Complete relevant forms and/or assist the office in completing carrier specific portals


EOB Validation:

  • Verify that providers are accessing correct carrier relationships through a sample set of EOBs
  • Verify that the fee schedule they are being paid on is what they are being paid on


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Transition/Acquisition Services