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PPO Practice

Today, most practices participate widely in 5 or more insurance networks. As a result, you are focused on increasing reimbursements to maintain your standard of care, staffing and income.

In considering a partner to help you increase reimbursements, consider the following:

– Why have my fees decreased or remained stagnant while my costs continue to rise?

– What do I need to do to prepare to negotiate with insurance companies?

– How much better can 5Lakes negotiate than my office manager?

– Really, how crazy is the insurance game today? Do I need a company to help?

Step 1 – Choose An Analysis

The 5Lakes proprietary Insurance Analysis results in a customized insurance participation strategy for your office. 

Premium AnalysisInsurance Analysis
Maximize insurance reimbursements with PPO negotiations and optimizationsXX
Collection, analysis and ranking of PPO fee schedules across more than 20 insurance plansXX
Review and audit of current UCR fees compared to insurance reimbursementsXX
Review of competing providers and the PPO’s they participate withX
Employer benefit plan research. Which employers have Aetna?? Is Aetna a big player in my market?X
Market demographicsX


Step 2 – Implement The Strategy & See Results   
Custom Quote Available

Leveraging the results of the Five Lakes Premium Analysis OR the Five Lakes Insurance Analysis, let our team implement the approved insurance plan for you. Must be purchased at the same time or after the completion of one of the Five Lakes Insurance Analyses.

✓ PPO negotiations
✓ PPO optimizations
✓ Insurance workbook and training for your staff
✓ Implementation training

If needed we also provide credentialing services (custom quote available)
✓ Processing of credentialing applications from start to approval
✓ Access to 5Lakes Insurance Center for industry news, updates, and management of your account