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Third Party Contract Issues

When you receive a third-party payer contract, you should read, understand and evaluate it thoroughly to determine if signing the contract is a sound business decision. Below we highlight common clauses within provider contracts and offer suggestions that you may use to negotiate with the payer. We offer you a comprehensive list of questions to consider as you read the contract: What every Dentist Should Know Before Signing a Dental Provider Contract (PDF).

Also, take advantage of the free service we offer: Contract Analysis Service

Contract Issues to Consider

  • I. Hold Harmless Clause
  • II. Recoupment Clause
  • III. Affiliated Carrier Clause
  • IV. Most Favored Nations Clause
  • V. Automatic Renewal Clause
  • VI. Compliance with Policies and Procedures Clause
  • Plan Participation Clause
  • Influencing Members' Choice of Dentists Clause
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