Reduce PPO dependence

Less PPO dependence. More predictable revenue.

Every PPO hour is billed at your fees and collected at theirs. A membership plan builds a base of patients who pay your practice directly, visit more, and accept more treatment, so your schedule depends less on any network's fee table.

  • Recurring revenue you control, not reimbursements
  • Members visit more and accept more treatment
  • Runs inside the PMS your team already uses

See the math for your practice

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The country's largest dental membership platform. 25,000+ dentists across all 50 states.
The write-off problem

The invisible line item. Write-offs add up quietly.

PPO write-offs never show up as a line item, but they shrink every hour of production on the schedule. The work is done at your fees and paid at the network's, and the gap compounds quietly, year after year.

Membership is the bridge to fee-for-service on your terms. Members pay your practice directly, on a recurring schedule you set, and the data shows they behave differently: more visits, more treatment accepted, more production per patient. Reducing PPO dependence becomes a transition you control, not a leap: grow the member base first, then re-evaluate your lowest-paying contracts with real numbers.

The exit playbook

How practices reduce PPO dependence, step by step

The transition is a sequence, not a leap. This is the playbook practices follow, with the membership base doing the heavy lifting.

  1. 01

    Measure what each contract really pays

    Run write-off and adjustment reports by plan for the trailing year. Industry analyses commonly put PPO write-offs at 35 to 55% of production, but the number that matters is yours, per contract.

  2. 02

    Rank your contracts

    Sort every network by effective reimbursement against your fee schedule and by chair time consumed. The bottom one or two contracts usually subsidize the rest of the schedule’s discounting. For the contract at the bottom, pull its active patient count, estimate how many of those patients might leave if you exit, and plan for that attrition before you give notice.

  3. 03

    Build the member base first

    Grow recurring membership revenue before any network decision, so the schedule already has production that arrives at your fees. Members visit more and accept more treatment, which is what replaces reimbursement volume.

  4. 04

    Exit the lowest contract with a runway

    Practices that do this well give a single low contract a 6 to 12 month exit runway: notify per the contract terms, train the front desk on the patient conversation, and offer the membership plan as the way patients keep their home practice. After the exit, many practices keep submitting claims for those patients as a courtesy, so patients can still get reimbursed by their insurance carrier.

  5. 05

    Re-evaluate annually

    With one exit behind you and a growing member base, repeat the ranking each year. In the ADA Health Policy Institute’s 2024 survey, 24.8% of owner dentists said they plan to drop at least one network, and the ones who succeed do it stepwise, not all at once.

What membership changes

$807 More production per member, per year
76% More visits as members
146% More treatment accepted

Based on Clerri member averages versus the same patients before joining a plan. Illustrative, not a guarantee of results.

The math

See the membership math for your practice

Adjust the sliders to see what a member base could add for a practice like yours.

2,000
30%
$35/mo
75%

The math: cash-pay patients × enrollment rate = new members. Each member pays the plan fee for 12 months and adds about $807 per year in production, based on Clerri’s 172% average lift versus before joining a plan. Totals are gross revenue and production, illustrative and not a guarantee of results.

Projected new annual revenue $552,150 recurring membership + added production, gross
New members450
600 cash-pay patients × 75% enrollment
Recurring membership$189,000
450 members × $35 × 12 months
Added production$363,150
450 members × $807 avg yearly lift
See the math for your practice
Works inside your PMS

Clerri Lives Where Your Team Already Works

It connects directly to your practice management software. Membership opportunities surface right in your existing schedule, so your team can show patients their savings and enroll them in a single click.

01

Spot the opportunity

Clerri flags patients who are a fit for membership right in your schedule view.

02

Show the savings

Staff see what a patient saves on today's treatment, instantly.

03

Enroll in one click

Add them to a plan without ever leaving your PMS.

Take Clerri for a spin

Set up a plan patients can join in under a minute: pick a Stripe product, set the fee, choose settings, and activate.

Built into your PMS

Native integrations with over 90% of practice management software

Clerri lives inside the system your team already uses. No toggling between tools, no second system to learn.

  • Dentrix
  • Dentrix Ascend
  • Dentrix Enterprise
  • Eaglesoft
  • Open Dental
  • Oryx
  • XLDent
  • Denticon
  • CareStack
  • Curve
  • Dolphin
  • PracticeWorks
  • Cloud9
30 sec to enroll a new member, pulled from your PMS
172% more cash production from members
90%+ of practice management systems supported
What you get

Everything a membership plan needs, on one platform

The plan is yours: your pricing, your patients, your brand. The administration is ours.

Automated billing and renewals

Payments rebill and renew on their own in Clerri, with no end-of-day re-keying.

Compliance guidance in all 50 states

State-by-state guidance including Knox-Keene, plus HIPAA and PCI security, handled for you.

Patient marketing included

Campaigns, brochures, and a custom landing page that keep enrollment climbing.

Native PMS write-back

Enrollment and member status live in your schedule view, and activity writes back automatically.

Our licensing, your protection

We hold the licenses, so your practice doesn't hold the risk.

Membership plans are regulated. 36 states license Discount Medical Plan Organizations, and California adds Knox-Keene on top. Clerri maintains the licenses and builds every plan to applicable laws in all 50 states, so the regulatory work sits with our compliance team instead of your front desk. If a rule changes, we adapt the plan and you keep practicing.

See how we stay compliant
  • DMPO licensed in all 36 states that require it
  • Knox-Keene compliant in California
  • Plans built to applicable laws in all 50 states
  • Monitored by our compliance team, not yours
Questions

Reducing PPO dependence FAQs

Do we have to leave our PPO networks to use Clerri?

No. Most practices start by growing a membership base alongside their existing contracts. A bigger base of members gives you real numbers, and real leverage, when you re-evaluate your lowest-paying contracts later.

How does membership reduce PPO dependence?

Members pay your practice directly, at your fees, on a recurring schedule you control. As the member base grows, more of your production comes from revenue without write-offs, so each individual contract matters less to the schedule.

What happens to patients if we drop a network?

A membership plan gives them a reason to stay: predictable preventive care and savings on treatment, straight from your practice. Practices that pair a network decision with a strong plan keep the relationship, not just the chart.

How fast can we build a member base?

Enrollment happens at the front desk in about 30 seconds, patients who are a fit surface automatically in your PMS, and included marketing drives sign-ups. Most practices are live in about two weeks and grow from the first month.

How do I reduce PPO write-offs?

Start by measuring them per contract: run adjustment reports by plan and rank each network against your fee schedule. Then reduce reliance on the worst contracts by building revenue that arrives at your fees, which for most practices means growing a membership base, and exit the lowest-paying network with a planned runway rather than dropping everything at once.

How do dental practices go out of network?

Stepwise. The common pattern is: quantify write-offs per plan, grow membership and fee-for-service revenue first, give one low-paying contract a 6 to 12 month exit runway with patient communication ready, then reassess annually. Practices that exit all networks overnight take schedule risk that the stepwise path avoids.

Is dropping PPOs right for our dental practice?

It depends on the numbers. Dropping a PPO makes sense when that contract’s write-offs are high and the schedule can stay full without its patient volume, and it goes best one plan at a time: start with the lowest-paying contract, estimate how many of its patients might leave, and have a membership base growing before you give notice. If a contract still pays close to your fees, staying in it can be the right call.

What is a fee-for-service transition?

Moving a practice’s revenue mix away from discounted network reimbursements toward care billed at the practice’s own fees. A membership plan is the engine most practices use: it gives patients a predictable way to stay with the practice while production shifts to fees you set.

What are the alternatives to PPO participation for dentists?

There are three options, and they work best together: stay in the networks that still pay well, go out of network with the rest and bill at your own fees, and offer an in-house membership plan so more production arrives at those fees. Out-of-network practices often keep submitting claims as a courtesy, so patients with dental benefits can still be reimbursed by their carrier. The membership plan is the piece that makes the other two workable, because members pay the practice directly at fees it sets.

Is a membership plan insurance?

No. Membership plans are not insurance. Members pay your practice a fee for access to preventive care and savings at your office, with no third-party network in between.

See what your schedule earns without the write-offs.

A 15-minute walkthrough shows the membership math for a practice like yours, with your own numbers in the calculator.

See the math for your practice
Keep your existing contractsFree to set upLive in about two weeks

Membership plans are not insurance.