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Fee schedule review

Dental Fee Schedule Review and PPO Write-Off Support

DentaVyro helps dental practices review PPO fee schedule issues during posting, estimates, underpayment checks, and reporting so owners can see when write-offs are expected and when payer processing needs review.

Outcomes Your Practice Should See

  • PPO allowed-fee and contractual write-off issues flagged during billing review.
  • Payment posting exceptions connected to fee schedule, underpayment, and payer-processing questions.
  • Patient estimate problems reduced by documenting fee assumptions before treatment presentation.
  • Monthly reporting that separates normal adjustments from items needing office approval.

Workflow

Step 1

Plan and Fee Review

We review the priority PPO plans, available fee schedules, payer notes, and recent EOB or ERA history based on the practice's approved workflow.

Step 2

Posting Exception Checks

During EOB and ERA review, expected allowed amounts, adjustments, patient responsibility, and underpayment indicators are flagged for office review.

Step 3

Estimate Support Notes

Fee schedule assumptions, deductibles, maximums, downgrades, and plan limitations are documented so treatment estimates are easier to explain.

Step 4

Owner Reporting

Repeated payer mismatches, questionable write-offs, and fee schedule update needs are summarized for the office manager or owner.

What Is Included

  • Dental fee schedule review support for high-volume PPO plans.
  • PPO write-off and contractual adjustment visibility.
  • Underpayment and payer-processing exception flags.
  • Patient estimate and final-balance review support.
  • Reporting for fee schedule mismatches that need office decisions.

Common Questions

What is dental fee schedule review?

Dental fee schedule review checks whether PPO allowed fees, contractual adjustments, expected write-offs, payment posting, patient estimates, and underpayment flags are aligned with the practice's approved payer information.

Is this the same as payer-contract negotiation?

No. DentaVyro supports operational fee schedule review, posting exceptions, underpayment flags, and reporting. The practice keeps final authority over payer contracts, fee updates, write-offs, appeals, and patient communication.