In-Network Contracting

Becoming an in-network provider with major insurance carriers can be a game-changer for dental sleep medicine practices.

At Pristine Medical Billing, we help providers like you navigate the complex and time-consuming process of credentialing and contracting so you can focus on what matters most—delivering excellent care to your patients.

Get Credentialed With Major Carriers

We work with top national insurance plans to help you become in-network with:

The Pristine Advantage

Provider credentialing and contracting with medical insurance payers is a highly detailed, often frustrating process.

It involves collecting, confirming, and submitting a wide range of documentation, including licensure, liability insurance, scope of services, and clinical qualifications.

At Pristine Medical Billing, we do more than just check boxes—we leverage years of hands-on experience, industry relationships, and insider knowledge of payer requirements to:

Streamline credentialing and contracting
from start to finish

Negotiate in-network rates aligned with
your quality of care

Advocate on your behalf for efficient
approvals and better terms

Ensure a smooth process, even when
timelines stretch for seven to nine months

We’ll help you secure contracts that work in your favor, whether you’re just starting your dental sleep
medicine journey or looking to grow your established practice.

Why Go In-Network?

You’re not alone if you’re tired of GAP waivers getting denied or inconsistent patient volume.

Being out of network can limit your growth, delay claims processing, and discourage physician referrals.

You gain the competitive edge needed to expand your practice and enhance your professional standing in the medical community by contracting as an in-network provider.

Here’s what you can look forward to when you work with Pristine:

Accurate Case Presentations
Faster Pre-Authorizations
Referrals From Insurance Carriers
Enhanced Credibility With Local Physicians
Prestigious Marketing Tool
Get Ahead of Your Competition

Accurate Case Presentations

Know your patients’ benefits up front and present treatment plans based on negotiated allowable rates. Say goodbye to guesswork!

Faster Pre-Authorizations

Speed up insurance approvals and start treatment without frustrating delays that often come with out-of-network status

Referrals From Insurance Carriers

Being listed as a preferred provider increases your visibility and opens the door to new patient referrals from insurance companies

Enhanced Credibility With Local Physicians

Physicians are more likely to refer patients to in-network providers, especially when they know you meet the standards required by payers

Prestigious Marketing Tool

Use your in-network status as a marketing differentiator. Patients and providers trust in-network practices more

Get Ahead of Your Competition

Only a small percentage of dental sleep medicine providers are in-network. Secure your spot before others in your area catch on

Pricing

In-Network Credentialing and Contracting Service Fee

$2,400.00

$1,400.00 for Pristine Medical Billing Clients

Let pristine help you get credentialed
and contracted w/ the following insurances:

United Healthcare

Cigna

Tricare West

Aetna

Blue Cross Blue Shield

SERVICE FEE:

Client Cost: $1,400 per Insurance Carrier
($800 to start the process – $600 upon
completion of the contract)

Non-Client Cost: $2,400 per Insurance
Carrier ($1,400 to start the process – $1,000
upon completion of the contract)

$495

Per Update

Need to Change a Contract?
We’ve Got You

Contract Updates

It’s critical to update your contracts to ensure
claims are paid without delay when a new provider
joins your team.

We’ll handle the communication, paperwork, and
follow-up with each payer to make sure your new
providers are credentialed.

Note: On average, it takes seven to nine months to complete a contract. Payer processes, state regulations, and provider-specific factors influence this timeline. We manage the process end-to-end so you don’t have to.

Enrollment Services

Credentialing is just one part of building a thriving dental sleep medicine practice.

Explore our DSM start-up packages to streamline your launch process—from billing setup to compliance.

Ready to Get
Started?

Let us help you take the guesswork out
of enrollment and start serving a larger,
loyal patient base today..