Does DCP negotiate PPO rates on our behalf?

No. DCP maintains the fee schedule and coverage data and shows you where a plan is underperforming compared to your other contracted PPOs. Your practice handles the actual negotiation conversation with the payer, backed by accurate numbers instead of a guess.

How does this connect to billing and insurance verification?

The same fee schedule and coverage data maintained here is what payment posting checks claims against and what insurance verification pulls benefit details from — keeping this data current keeps both of those more accurate.

Are there long-term contracts?

No. Service runs month-to-month after a one-time account setup fee, with no long-term lock-in.

Fee Schedule & Coverage Management

A stale fee schedule doesn't announce itself — it just quietly posts the wrong write-off on every claim for that plan until someone happens to catch it. And when it's finally time to ask a PPO for a better rate, most practices don't have clean data showing how that plan's reimbursement actually compares to everything else they're contracted with. Both problems come from the same root cause: nobody's job is to keep the fee schedule and coverage book current.

What's included

Fee schedule maintenance. Keeping each contracted PPO's negotiated rates current and correctly loaded in your practice management software, so postings match what's actually been negotiated — not an outdated table.
Coverage book upkeep. A maintained, plan-by-plan reference of what's covered, what's excluded, frequency limits, waiting periods, and other plan-specific rules.
PPO performance data. Reimbursement across your contracted plans compiled and compared, so it's clear which PPOs are paying well and which are lagging on the same procedures.
Negotiation-ready reporting. When it's time to talk to a payer about a rate increase, you go in with the actual numbers for that plan next to everything else you're contracted with.

How it works

We work directly inside the practice management software you already use, checking loaded fee schedules and coverage details against what's actually on file — and against posted claims — to catch an outdated table before it causes a string of wrong write-offs. Reimbursement data is compiled per plan, so comparing PPOs is a report, not a manual spreadsheet project.

Why practices choose DCP for this

This service hands you data, not a decision made for you. DCP maintains the fee schedules and coverage book and puts the numbers in front of you; you decide which PPOs to push on, drop, or stay in. It's the same data foundation that keeps billing postings and insurance verification breakdowns accurate — maintained by a US-based team, month-to-month, with no long-term contract.

Do you negotiate PPO rates for us?

No — we maintain the data and flag underperforming plans; your practice handles the negotiation itself.

How does this connect to billing and verification?

It's the same underlying fee schedule and coverage data those services rely on — keeping it current keeps both more accurate.

Do we have to sign a long-term contract?

No — month-to-month after a one-time setup fee.