Contracting & negotiations / TERM EXPLAINED
Escalator Clause
A provision that increases fees on a defined schedule or according to an agreed formula.
A dental practice example
A schedule increases annually by two percent for eligible covered CDT codes.
Why it matters for reimbursement
Automatic increases may compound over time but exclusions and caps matter.
What to verify
Verify the base fees, formula, start date, exclusions and implementation evidence.
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.