Dr. Smith:

Thank you for the opportunity to review the insurance contracts and fee schedules for your practice. Through our analysis, we have negotiated an increase on both your generalist and specialist fee schedule with GUARDIAN on your behalf. The tables below provides an original/new fee schedule comparison of select codes:

Generalist Schedule

Codes

Current
Schedule

Proposed
Schedule

$
Difference

%increase

D2335

$135.00

$149.00

$14.00

10.37%

D2331

$117.00

$129.00

$12.00

10.26%

D2750

$724.00

$798.00

$74.00

10.22%

D2740

$738.00

$813.00

$75.00

10.16%

D2394

$158.00

$174.00

$16.00

10.13%

D2330

$89.00

$98.00

$9.00

10.11%

D2391

$99.00

$109.00

$10.00

10.10%

D2332

$129.00

$142.00

$13.00

10.08%

D2932

$190.00

$209.00

$19.00

10.00%

D2393

$150.00

$165.00

$15.00

10.00%

 

Attached are the entire fee schedules from GUARDIAN. Please review the schedule. If you wish to accept this proposal please execute the attached documents from GUARDIAN (first 2 pages of each) and send back to me ASAP. Also, please executive below, authorizing APEX to implement this new schedule.

I authorize APEX Reimbursement Specialists to implement, on our behalf, with this
recommendation.

Signature:                                                                                       

Title:                                                   

Date: