Tier 3 provides access to advanced billing, documentation, and enforcement systems designed for practices managing complex claims, medical–dental crossover, appeals, and audit-sensitive workflows.

These resources go beyond templates and introduce strategy, sequencing, and payer-specific considerations that require proper implemention.

Tier 3 is intended for:

• Practices working with Elite Dental Systems in an RCM or consulting capacity

• Experienced billing teams

• Office managers overseeing compliance and appeals

• Practices expanding into medical billing or high-risk procedures

Tier 3 is not recommended for offices without structured billing oversight.

Tier 3 resources involve higher compliance, financial, and audit risk if used incorrectly.

Restricting access ensures:

• Proper training and context

• Consistent implementation

• Reduced risk of denials, recoupments, or audits

• Alignment with payer rules and documentation standards

This protects both the practice and the patient.

No.
Tier 3 resources do not guarantee reimbursement, payment, or outcomes.

Insurance decisions depend on payer policy, documentation quality, patient eligibility, and regulatory factors outside of Elite Dental Systems’ control.

No.
Tier 3 materials are proprietary and client-restricted. They may not be shared, distributed, copied, or resold outside the authorized practice.

Unauthorized use may result in termination of access.

No.
Tier 3 resources are system-dependent, not standalone tools.

They assume:

• Accurate eligibility verification

• Proper documentation workflows

• Correct coding fundamentals

• Ongoing tracking and follow-up

Using Tier 3 tools without foundational systems increases risk.

No.
Tier 3 resources support Elite Dental Systems services but do not replace:

• Oversight

• Training

• Auditing

• Strategic guidance

Best results occur when Tier 3 tools are implemented within a managed system.escription

Tier 3 resources may be adapted internally, but full customization, payer-specific tailoring, or software integration is reserved for Tier 4 consulting engagements.