Insurance Sucks. Let’s Beat It at Its Own Game.
You’re a dentist. You just delivered a perfectly crafted crown—full contour, flawless margins, textbook occlusion. The patient smiles, says thank you, and you submit the claim.
Aaaaand DENIED.
The dreaded dental insurance denial letter for a crown shows up like a bad Yelp review. “Not medically necessary.” “Frequency limitation.” “Plan exclusion.”
It’s enough to make you question reality (and PPO contracts).
But what if you could break up with insurance, boost your practice revenue, AND help patients get the treatment they need—without ever writing another appeal letter again?
Enter: the Dental Membership Plan.
Specifically, BoomCloud™.
From Insurance Victim to Revenue Hero – The BoomCloud™ Journey
Let’s talk about Dr. Smith (yes, real doc, fake name). Her Utah-based practice had:
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60% of production tied to insurance
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$40k+ per year in unpaid claims
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Patients delaying necessary treatments due to “insurance excuses”
Then she discovered BoomCloud™.
In just 18 months, Dr. Smith turned her insurance-dependent circus into a predictable MRR machine. She launched a custom membership plan, cut ties with 4 PPOs, and watched her ARR soar past $280,000/year just from memberships alone.
But here’s the kicker: her members didn’t just stick around—they spent 2X to 4X more on treatment compared to insurance patients.
Why? Because there’s no appeals, no pre-auths, no barriers—just care and connection.
The Truth About Appeal Letters
If you’re still writing dental crown appeal letters, let me give you the hard truth:
You’re writing essays to faceless claim auditors who are paid to say “no.”
Here’s the data:
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Dental insurance denial rates are 20% to 30% industry-wide (ADA 2023).
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Appeals succeed less than 50% of the time (and only after weeks/months of back-and-forth).
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Dentists spend 2-6 hours per week on administrative appeals (ADA claim study).
It’s exhausting. It’s inefficient. And it’s stealing your growth.
Membership Plans = The Anti-Insurance Business Model
BoomCloud™ isn’t just a membership platform. It’s a recurring revenue engine that helps you ditch appeals, drop bad plans, and finally own your practice model again.
Here’s how it flips the script:
Membership Economics
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MRR (Monthly Recurring Revenue): Predictable cash flow month after month.
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ARR (Annual Recurring Revenue): Revenue you can count on whether patients show up or not.
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Revenue per Patient: Members spend 2X-4X more vs. insured patients (BoomCloud™ internal data).
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Retention: Higher loyalty, fewer no-shows, stronger relationships.
Why It Works
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Patients feel like VIPs with exclusive benefits.
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You eliminate PPO friction, claim delays, and BS denials.
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Your team saves hundreds of hours every year on admin.
Case Study: How One Practice Turned Denials Into Dollars
Practice: Miller Family Dental, CO
⚕️ Members: 312 in Year 1
MRR: $8,476
Insurance Plans Dropped: 5
Revenue Growth: +27% YoY
Key Changes:
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Built a custom 3-tier membership program via BoomCloud™.
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Removed “crown exclusions” from the equation.
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Offered discounted rates on crowns with membership—no pre-auth needed.
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Replaced appeal letters with same-day treatment acceptance.
“Instead of fighting insurance, we’re helping patients say ‘yes’ faster—and our collections are up $100k this year.” – Dr. Miller
How to Optimize Your Membership Plan (and Crown Revenue)
Here’s how to stack your membership program so it obliterates insurance headaches and increases revenue per patient:
✅ Build Tiered Options
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Basic: Exams, X-rays, 15% off crowns
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Premium: Add hygiene, 20% off major treatments
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Family: Group plans = retention gold
✅ Offer Immediate Benefits
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Crown discounts start Day 1—no waiting period
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Encourage same-day treatment planning
✅ Market Like a Pro
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Use BoomCloud’s marketing automations
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Text/email campaign: “Tired of denied crowns? Join our Dental Club.”
✅ Use Real Language, Not Insurance Gobbledygook
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“Save on Crowns” > “15% Coverage for Indirect Restorations”
✅ Track & Scale
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Know your MRR, ARR, churn, and conversion rate
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Build in annual price adjustments (like Netflix does)
TL;DR – Why Dental Membership Plans Crush Crown Appeal Letters
| Insurance Model | Membership Model |
|---|---|
| Denials & delays | Instant acceptance |
| Appeal letters | Same-day treatment |
| Revenue guesswork | Predictable MRR |
| Admin overload | Simple automation |
| 1X patient visits | 2X–4X treatment $ |
It’s Time to Fire the Appeal Letter
You don’t need to beg insurance companies to do their job.
Instead, give your patients a better experience, build recurring revenue, and scale your practice like a SaaS company (seriously!).
Get off the hamster wheel of crown denials—and start collecting cash like a boss with BoomCloud™.
Useful Links & Power Resources
Download the Million-Dollar Membership Plan eBook
Take The Six-Figure Patient Membership Plan Course
Schedule a Demo of BoomCloud™
Create Your BoomCloud™ Account For FREE
