Multi-Location & Multi-Provider

General Information

Number of locations

Total number of dental providers across all locations

Please share what states your practices are located in

Enrollment & Credentialing

How often do you add new providers

How often do you open new locations?

Have specific locations encountered challenges in network enrollment or claim reimbursements?

Yes

Practice and Provider Specifics - Continued

Are there specific locations that have faced challenges in network enrollment or claim reimbursements?

Yes

Are all of your locations enrolled in the same insurance networks?

Yes

Do you currently offer a membership plan?

Yes

What practice management (PM) system does each location have?

Insurance Network Participation by Location

Do all locations accept the same range of dental insurance plans? If no, please provide an overview or a breakdown by major differences.

Feedback & Expectations

How did you learn about our services, and what are your anticipations in terms of optimizing claim reimbursements during this phase of adding a new associate?

How did you hear about our services?

Contact Information

First Name

Last Name

Organization's Name

Your role

Email *

Phone *

Your time zone?

Preferred Time and Method of Contact

State where the main office of the organization is situated