How can I solve big case problems caused by insurance?
Most of them are solvable, and faster than you’d expect once you have clarity. I spent twenty years fighting these issues and eventually realized the whole tangle comes down to a handful of tools. Know your state law first, because in many states you can simply bill full fee once the patient passes their maximum. Where the law doesn’t help, you have the option of the patient temporarily dropping their plan, backed by an indemnification agreement so they lose no benefit. Beyond that, a HIPAA privacy release can put a specific treatment outside the contract entirely. For high volume practices, a separate non-participating entity handles the big cases. Each one rests on the same foundation, an honest leadership conversation and usually a discount. Stop treating the insurance system as an immovable wall. It has more doors than dentists assume.
If the answers you are finding here resonate with you, my team and I work with a small group of clients each year. The next step is a complimentary Discovery Consultation and Practice Review with Dr. McAnally.