Mrs [redacted] , A secondary audit of his entire account was completed to address this disputeThe findings are listed below: · Patient does not have a credit on his accountIf fact after each EOB (Explanation of Benefits) from [redacted] was reviewed, his payment responsibility should have been an additional $· Patient received a $discount for the two crowns completed back in July · His dental insurance delayed payment for one of his crowns for monthsDue to this delay his dental insurance representative(s) could only provide inaccurate information when he contacted them with benefit questions· Our office is In-Network with [redacted] Insurance so his patient portion is determined by his insurance plan not by our office· His dental insurance actually processed multiple claims for his services as Out-of-Network by mistake· [redacted] already sent letter to request a refund for a $overpaymentThe letter contained an apology from his insurance company for the incorrect payment as well as for any inconvenience they caused· Our office expects a few additional letters from [redacted] to correct the overpayment issues they caused with this patientIn conclusion he saved $for all the treatment he completed in our officeHis current account balance is zeroOur office has a contractual obligation to refund [redacted] Insurance not the patient for any overpaymentsOur company strives to deliver an exemplary patient experience clinically and administrativelyUnfortunately, our efforts to best meet the patient's needs were not matched by the insurance company in this particular case.Regards, [redacted] Chief Operations Officer Billing Department [redacted] [redacted]
Mrs. [redacted], A secondary audit of his entire account was completed to address this dispute. The findings are listed below: · Patient does not have a credit on his account. If fact after each EOB (Explanation of Benefits) from [redacted] was...
reviewed, his payment responsibility should have been an additional $224. · Patient received a $300 discount for the two crowns completed back in July 2015. · His dental insurance delayed payment for one of his crowns for 14 months. Due to this delay his dental insurance representative(s) could only provide inaccurate information when he contacted them with benefit questions. · Our office is In-Network with [redacted] Insurance so his patient portion is determined by his insurance plan not by our office. · His dental insurance actually processed multiple claims for his services as Out-of-Network by mistake. · [redacted] already sent 1 letter to request a refund for a $29.30 overpayment. The letter contained an apology from his insurance company for the incorrect payment as well as for any inconvenience they caused. · Our office expects a few additional letters from [redacted] to correct the overpayment issues they caused with this patient. In conclusion he saved $524 for all the treatment he completed in our office. His current account balance is zero. Our office has a contractual obligation to refund [redacted] Insurance not the patient for any overpayments. Our company strives to deliver an exemplary patient experience clinically and administratively. Unfortunately, our efforts to best meet the patient's needs were not matched by the insurance company in this particular case.Regards, [redacted]Chief Operations Officer Billing Department [redacted] [redacted]
Complaint: [redacted]
I am rejecting this response because:
The last appointment I had with 7 to 7 Dental on 7/28/16 is not addressed. I went in for an exam on 7/26/26 and was told I needed three fillings. A billing rep, Mr. [redacted] came into the exam room and Said my co-pay for the fillings would be $297.85. I said that I thought this Of high. He replied that they could do it for $250.00. I said that would be OK but I would have to pay the $50.00 later on. He said that they would Just charge me the $200.00. I gave him my Care Credit card and he Billed it for $200. When he came back I asked why the co-pay was so high and he said that I had almost depleted my available funds with [redacted]. After I got home I called [redacted] and they said that there Was at least $615.00 of funds available to me.
I waited for [redacted] to send me the Explanation of Benefits for the fillings. When I got the EOB I found That my share or co-pay was only $40.00. See figure 1 which is the treatment plan saying that my Pre-Payment was 271.95 See figure 2 which is a copy of Care Card being charged $200 See figure 3 which is a copy of the EOB
I contacted a managerl at the Potranco office of 7 to 7 and made an Appointment to see her. I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me. I went home and made another apt with her. She did meet With me and said she would look into it. I later received a call from her Saying they audited my account found they owed me $49.00 But they Were waiting on until the claim mentioned in this letter arrived. Then they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything.
I contacted a Ms. [redacted] at the Potranco office of 7 to 7 and made an Appointment to see her. I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me. I went home and made another apt with her. She did meet With me and said she would look into it. I later received a call from her Saying they audited my account found they owed me $49.00 But they Were waiting on until the claim mentioned in this letter arrived. Then they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything.
This organization is just out to seek money. I saw a dentist at the Cibolo branch and they tried to tell me I had 5 cavities without showing me the X-rays then immediately tried to get me to pay my copay for getting the cavities filled before even scheduling an appt. I went to another dentist who reviewed the X-rays and said I have 1 cavity starting to watch, not even get filled today.
Mrs [redacted] , A secondary audit of his entire account was completed to address this disputeThe findings are listed below: · Patient does not have a credit on his accountIf fact after each EOB (Explanation of Benefits) from [redacted] was reviewed, his payment responsibility should have been an additional $· Patient received a $discount for the two crowns completed back in July · His dental insurance delayed payment for one of his crowns for monthsDue to this delay his dental insurance representative(s) could only provide inaccurate information when he contacted them with benefit questions· Our office is In-Network with [redacted] Insurance so his patient portion is determined by his insurance plan not by our office· His dental insurance actually processed multiple claims for his services as Out-of-Network by mistake· [redacted] already sent letter to request a refund for a $overpaymentThe letter contained an apology from his insurance company for the incorrect payment as well as for any inconvenience they caused· Our office expects a few additional letters from [redacted] to correct the overpayment issues they caused with this patientIn conclusion he saved $for all the treatment he completed in our officeHis current account balance is zeroOur office has a contractual obligation to refund [redacted] Insurance not the patient for any overpaymentsOur company strives to deliver an exemplary patient experience clinically and administrativelyUnfortunately, our efforts to best meet the patient's needs were not matched by the insurance company in this particular case.Regards, [redacted] Chief Operations Officer Billing Department [redacted] [redacted]
Mrs. [redacted], A secondary audit of his entire account was completed to address this dispute. The findings are listed below: · Patient does not have a credit on his account. If fact after each EOB (Explanation of Benefits) from [redacted] was...
reviewed, his payment responsibility should have been an additional $224. · Patient received a $300 discount for the two crowns completed back in July 2015. · His dental insurance delayed payment for one of his crowns for 14 months. Due to this delay his dental insurance representative(s) could only provide inaccurate information when he contacted them with benefit questions. · Our office is In-Network with [redacted] Insurance so his patient portion is determined by his insurance plan not by our office. · His dental insurance actually processed multiple claims for his services as Out-of-Network by mistake. · [redacted] already sent 1 letter to request a refund for a $29.30 overpayment. The letter contained an apology from his insurance company for the incorrect payment as well as for any inconvenience they caused. · Our office expects a few additional letters from [redacted] to correct the overpayment issues they caused with this patient. In conclusion he saved $524 for all the treatment he completed in our office. His current account balance is zero. Our office has a contractual obligation to refund [redacted] Insurance not the patient for any overpayments. Our company strives to deliver an exemplary patient experience clinically and administratively. Unfortunately, our efforts to best meet the patient's needs were not matched by the insurance company in this particular case.Regards, [redacted]Chief Operations Officer Billing Department [redacted] [redacted]
Complaint: [redacted]
I am rejecting this response because:
The last appointment I had with 7 to 7 Dental on 7/28/16 is not addressed. I went in for an exam on 7/26/26 and was told I needed three fillings. A billing rep, Mr. [redacted] came into the exam room and Said my co-pay for the fillings would be $297.85. I said that I thought this Of high. He replied that they could do it for $250.00. I said that would be OK but I would have to pay the $50.00 later on. He said that they would Just charge me the $200.00. I gave him my Care Credit card and he Billed it for $200. When he came back I asked why the co-pay was so high and he said that I had almost depleted my available funds with [redacted]. After I got home I called [redacted] and they said that there Was at least $615.00 of funds available to me.
I waited for [redacted] to send me the Explanation of Benefits for the fillings. When I got the EOB I found That my share or co-pay was only $40.00. See figure 1 which is the treatment plan saying that my Pre-Payment was 271.95 See figure 2 which is a copy of Care Card being charged $200 See figure 3 which is a copy of the EOB
I contacted a managerl at the Potranco office of 7 to 7 and made an Appointment to see her. I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me. I went home and made another apt with her. She did meet With me and said she would look into it. I later received a call from her Saying they audited my account found they owed me $49.00 But they Were waiting on until the claim mentioned in this letter arrived. Then they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything.
I contacted a Ms. [redacted] at the Potranco office of 7 to 7 and made an Appointment to see her. I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me. I went home and made another apt with her. She did meet With me and said she would look into it. I later received a call from her Saying they audited my account found they owed me $49.00 But they Were waiting on until the claim mentioned in this letter arrived. Then they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything.
Regards,
[redacted]
This organization is just out to seek money. I saw a dentist at the Cibolo branch and they tried to tell me I had 5 cavities without showing me the X-rays then immediately tried to get me to pay my copay for getting the cavities filled before even scheduling an appt. I went to another dentist who reviewed the X-rays and said I have 1 cavity starting to watch, not even get filled today.