Tier 4 represents Custom System Builds—the highest level of access within the Elite Dental Systems framework.

This tier goes beyond templates and standard workflows, delivering practice-specific systems designed around your providers, payers, software, risk profile, and operational goals.

Tier 4 is about ownership, integration, and longevity.

Tier 4 is designed for:

• Practice owners

• Executive leadership teams

• Multi-location practices and DSOs

• Practices managing higher legal, financial, or compliance risk

These engagements are appropriate when leadership-level decisions and accountability are required.

Tier 2 and Tier 3 provide standardized and advanced systems used across multiple practices.

Tier 4 systems are:

• Customized for a specific practice

• Integrated into existing software and workflows

• Built around payer contracts and state-specific requirements

• Designed for long-term use and adaptation

Nothing in Tier 4 is “plug-and-play.”

No.
Tier 4 resources are not sold individually and are not available as standalone downloads.

They are developed exclusively through premium consulting engagements to ensure legal, operational, and compliance alignment.

Tier 4 systems reflect:

• Practice-specific policies

• Provider-level documentation standards

• Payer-specific language and workflows

• State and federal regulatory considerations

Sharing or reusing these materials outside the originating practice could create legal exposure or compliance risk.

Tier 4 may include:

• Custom patient financial and consent policies

• Practice-specific SOPs and governance documents

• Payer-specific appeals and enforcement frameworks

• Software-integrated workflows and documentation standards

• Team training and implementation plans

Each engagement is scoped individually based on practice needs.

Yes.
Tier 4 engagements include guided implementation, ensuring systems are adopted correctly and consistently by the team.

This may include:

• Leadership alignment sessions

• Role-based training

• Workflow integration

• Documentation and compliance reviews

The practice retains ownership of custom-built systems created specifically for them.

Elite Dental Systems retains intellectual property over proprietary frameworks, methodologies, and tools used to develop those systems.

Tier 4 engagements begin with a consulting assessment to understand the practice’s structure, risks, goals, and existing systems.

From there, Elite Dental Systems designs a scoped engagement aligned with your operational needs.