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Out of network practice:

Cons: it is harder to get a patient an accurate estimate. While it is still 100% possible to get accurate estimates- it takes a little more skill, knowledge and digging on the office’s part. Listen to episode on 16 on difference between fee schedule/table of allowance and UCR- important to know as a fee for service practice

Pros: Freedom to pick your own fees for your services. Insurance does not dictate what you do. Nor should it ever, but insurance can dictate what you get paid for if you are in network. If a procedure is not paid due to the plan’s limits you don’t have to eat the cost. Example: build ups

Typically more money goes to the practice. You can see less patients for the same $ amount since your fees are not dictated. Better quality of life.

Going out of network: 

What you will need: well trained staff, great verbal skills, and spectacular customer service.