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How are my savings distributed by network?

Claims paid between

01-Jan-2016 and 31-Jul-2016

Southcomm Communications, Inc

.

The

Delta Dental Difference

Category

Total

%of Total

Delta Dental

PPO

%of

Total

Delta Dental

Premier

%of

Total

Out of

Network

%of

Total

Fe

es

n

o

t Allo

we

d Du

e

t

o

Pro

c

e

ss

ing Polici

es

$0.0

0

0.00

%

$0.00

0.00

%

$

0

.

00

0

.

00

%

$

0.00

0

.

00

%

F

ee

R

e

du

c

tion (M

e

m

be

r

D

e

nti

s

t

s

)

$

1

,066.

3

4

13.1

2%

$92

6

.3

4

35.

04%

$

14

0

.00

3

0

.

9

1

%

$

0

.

00

0

.

00

%

S

a

v

ing

s

from D

e

nt

a

l

Co

nsultant Rev

i

e

w

$

0

.

0

0

0.00%

$0.

0

0

0

.

00%

$

0

.

00

0

.

00

%

$0

.

00

0

.0

0

%

$1

,

066

.

34

13

.

12%

$926.34

35.04%

$140

.

00

30

.9

1%

$0.00

0.00

%

Fee R

e

duction (N

o

n

-

member

Dentists)

$0.0

0

0.00

%

$0

.

00

0.00%

$0.00

0

.

00%

$0.00

0.00

%

Delta Difference

& Non

Member

Fee

Reductions

$1

,

066

.

34

13.12%

$926.34

35

.

04%

$140.00

30.91%

$0

.

00

0.00

%

Net Submitted

(total)

$8

,

129.

14

$2,643

.

3

4

$453.00

$5

,

032

.

8

0

Net Submitted (by

network) (as

percentage)

32.52%

5

.

57

%

61.91%

Net Submitted

For more information, contact your Delta Dental of Tennessee Sales or Service Representative

Date report was run 23-Aug-2016 for report period ending 31-Jul-2016

84