Stick On Pods Toothbrush Holder going to be once it what's the cost to participate so if you have say for instance it's a really really good question so say for instance Stick On Pods Toothbrush Holder you have a doctor that doesn't participate with anything at all nothing and they want to add and they have open share time and that's the key if they have open chair time and they don't.
want to have open to your time not in a position you know every doctor is different we like to look at where they are in their own life so if they're getting five years from retirement they want to drop to three days open chair time may not be an issue consolidating the schedule might be better but if they have opened chair time.
They're years old and they've got a whole lot of years with their practice and they want to they've got two empty chairs then they may be wanting to put in some more patient flow so then you're going to look at Guardian to say you only have that one patient that has Guardian the cost of participation is probably pretty.
Minimal because it's just isolated to that one patient so if you got a decent fee schedule and there was an opportunity to perhaps attract more patients with Guardian that may not be coming to you now because you're not in network you the loss to that single patient so your actual income loss is pretty minimal whereas if a doctor say participate is doesn't participate with anything at all and as two hundred thousand dollars a year in production with MetLife so they let patients that are coming in out of network perfectly happy and they're getting two hundred thousand dollars from that life every year so this is a common scenario and they're thinking I'm thinking I might want to add MetLife so that I can have more patients the problem with that.
What you want to look at and what sandy would look at very carefully is what's the break-even point so say MetLife gives you a fee schedule that's going to require a % write-off which is not unusual with MetLife well now before you've added a single new patient you're discounting your current $, a year production by $, because all of them now are going to be discounted on the new fee schedule so then you have to ask yourself will I pick up enough new patients to offset $, loss to the practice likely not so when you're looking at adding carriers and you want to look what's the cost to my current business and if it's a pretty small cost and you don't have a whole lot of patience with that plan you may open up the doors to patients that you would not be seeing otherwise if you participate with a whole bunch of carriers then you want to look to see not just how much am I writing off but how hard is it to work.
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