Contracting & negotiations / TERM EXPLAINED
Contract Carve-Out
A provision excluding specified services, codes, specialties or circumstances from a general contract rule.
A dental practice example
Implant procedures follow a separate schedule rather than the blanket increase.
Why it matters for reimbursement
Carve-outs can make headline increase percentages unreliable.
What to verify
Check fee exhibits, procedure lists and the handling of new CDT codes.
FROM DEFINITION TO DECISION
Turn reimbursement questions into evidence.
PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.