Ameritas Life Insurance Corporation of New York

The patient was [redacted] and the date of service (DOS) was Total charge was $The PPO dentist provider fee is $The claim has been received twice1st time received & we advised of timely filing clauseWe received e-mail from the member about the denial of the service on We responded back on about timely filingWe actually sent two lettersThe 2nd was to correct our timely filing days from to 2nd time claim was received 516, [redacted] Denied due to timely filingMember called on We advised of timely filingWe advised can send in letter of appeal to Quality ControlMember advised would not waste his time on thatThe member is active and has days for timely filingEither the provider (dentist) or the member needs to submit claims in a timely fashion

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

The patient was *** * *** and the date of service (DOS) was 12/**/Total charge was $The PPO dentist provider fee is $The claim has been received twice1st time received 5/*/2016, claim #***Was over the day timely filing limitProvider's office called
on 5/**/& we advised of timely filing clauseWe received e-mail from the member about the denial of the service on 5/**/We responded back on 5/***/about timely filingWe actually sent two lettersThe 2nd was to correct our timely filing days from to 2nd time claim was received 5/**/16, ***Denied due to timely filingMember called on 5/**/We advised of timely filingWe advised can send in letter of appeal to Quality ControlMember advised would not waste his time on thatThe member is active and has days for timely filingEither the provider (dentist) or the member needs to submit claims in a timely fashion

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
I do not accept thisI have paid for the service during time of visitPlease pay the claim as I have paid my premiums for this purposeFor your company to put timely manner limitations is unethical
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

*** *** seeks restitution based upon the premise that the life insurance purchased was inappropriate for her needsHowever, the disclosure documentation provided at the time of purchase and
delivery appear to state accurately and adequately the nature of the life insurance policyIn the interest of excellence in customer service we have made an offer to *** *** that we expect her to accept

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

 I do not accept this. I have paid for the service during time of visit. Please pay the claim as I have paid my premiums for this purpose. For your company to put timely manner limitations is unethical.
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

The patient was [redacted] and the date of service (DOS) was 12/**/2015. Total charge was $287.00. The PPO dentist provider fee is $149.00. The claim has been received twice. 1st time...

received 5/*/2016, claim #[redacted]. Was over the 124 day timely filing limit. Provider's office called on 5/**/16 & we advised of timely filing clause. We received e-mail from the member about the denial of the service on 5/**/16. We responded back on 5/[redacted]/16 about timely filing. We actually sent two letters. The 2nd was to correct our timely filing days from 90 to 120. 2nd time claim was received 5/**/16, [redacted]. Denied due to timely filing. Member called on 5/**/16. We advised of timely filing. We advised can send in letter of appeal to Quality Control. Member advised would not waste his time on that. The member is active and has 124 days for timely filing. Either the provider (dentist) or the member needs to submit claims in a timely fashion.

[redacted] seeks restitution based upon the premise that the life insurance purchased was inappropriate for her needs. However, the disclosure documentation provided at the time of purchase and delivery appear to state accurately and adequately the nature of the life insurance policy. In the...

interest of excellence in customer service we have made an offer to [redacted] that we expect her to accept.