Erick Paul
The Reimbursement Expert
- Designed and implemented reimbursement methodologies for over 20 networks including national networks, regional networks, Delta Dental plans, and Blue Cross Blue Shield plans
- Created a fee methodology that was approved through a public hearing process and endorsed by the state dental society
- Negotiated relationships with large group practices with experience representing both the payer and group practice
- Led the recruitment of over 40 thousand dentists across the full spectrum of networks
- Published usual and customary (UCR) reports that were used by tens of thousands of dentists nationwide
- Created the second largest provider claims service in the dental industry from scratch that was used by over 30 thousand dentists to submit 60 million claims, 4 million attachments, and 3 million patient statements annually
- Built a national dental network from an acquisition with 35 thousand participating dentists and used for an estimated $350 million in services annually and used by leading payers such as Aetna, Cigna, Humana, Guardian, and United Healthcare