Elimination of Third Party Administrators (TPA) allowing patients to control their own dental treatment decisions.
The Insurance industry translates overhead into high per-claim or per-procedure costs, and then adds
expensive, inefficient adjudications and cost controls. Adjudication is the scenario whereby a TPA or (Third
Party Administrator) decides whether to accept all or part of a dental claim. The bottom line is that you
invest in the cost of your policy's premium, but then you are left with the uncertainty of exactly what your
policy will cover. The uncomfortable experience of finding out that a prescribed procedure is not
covered, while you are standing at the front desk of your dentist's office where everyone in the
waiting room is watching, is not something anyone cares to ever endure. A soundly constructed inhouse
dental plan membership takes all the uncertainty and guesswork out of the picture.