Out of Network Letter to Patients

This Financial Coordinator resource provides a letter to patients can be used as a template to inform patients that the office is no longer in-network and provides the details they need pertinent to their dental care. You can use this letter as is or customize it for your office.

Letter to Patient Going Out Of Network


Dear Family,

After much deliberation, we have decided to end our preferred provider status with X dental insurance company, effective xxxx,xx,20xx. We will continue to accept your insurance; however we will do so as an out-of-network provider.

Unfortunately, being a participating provider for X insurance is becoming harder for us as they are reducing our fees sometimes 55% or more…

View the complete document and print out a copy for your office below!