Is it just me, or is dealing with dental insurance getting exponentially worse lately?

The constant write-offs, pre-auth rejections, and hours on the phone with payer portals are completely sucking the life out of running a private clinic. I feel like my office manager spends 90% of her day playing detective with claims instead of actually helping our patients. I've been looking into back office support options just to get this weight off our shoulders, and companies like Smile partners keep popping up since they specialize in centralized revenue cycle management and insurance billing. Have any independent owners outsourced their billing to a DSO structure like that? Does it actually clean up the AR collections, or do you lose too much control over how your claims get coded and handled?