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2021 Cooperative Full-Fee Census

Thank You for Helping With the 2021 Full-Fee Census!

Every 2 years the Cooperative collects the full-fees from all our Members. In addition, we also collect the Maximum Allowable Write-Off percentage you are willing to accept from your full-fees with payors. These two data points are critical to the success of programs like Insurance Fee Maximization and working with payors for enhanced fee schedules.
After collection, we provide the collective data back to our members, no individual data is shared. Help us by completing the data below. Attach your full-feel as a CSV or Excel file if possible. Click for instructions on how to download fee schedules from the following practice management software:

    FULL-FEE CENSUS

    Under the Messenger Model outlined by the ADA and FTC, every 2 years the Cooperative collects the full-fees from all our Members and their Maximum Allowable Write-Off percentage they are willing to accept with payors. These two data points are critical to the success of our programs such as Insurance Fee Maximization and working with payors for enhanced fee schedules. Please submit your information and thank you for participating.

    Practice Information:




    Fee Information:









    Notes




    If you are having troubles submitting this form, please click here to email.