I am rejecting this response because: When my Husband ( [redacted] ***) initially came to your office in such a confident manner, it was because we assumed we would be getting the utmost professional care both from the dentist, as well as the support staff We too feel this is a very unfortunate circumstance and as consumers should not have been treated in the manner that we were treated It is true that [redacted] did provide the the office personnel with the group ID number but also with his individual policy # and in fact his dental insurance card This would have clearly been nothing more than a phone call from the office person to the insurance company to ensure that the policy was in fact in place and correct with the correct coverageWe in fact called multiple dental offices to verify this procedure Giving this person the benefit of the doubt that what they were doing is THEIR office or STANDARD policy/procedure, I find it rather disturbing that they would actually perform services for clients under pretenses that they actually had some form of dental coverage when in fact they had not accurately verified this prior to ANY services being rendered regardless of the time frame for which these services were performed As for the billing; we do appreciate any discounts that may have been provided, but the final pricing still does not tabulate to a correct balance and at this point we are truly unsure of what the actual balance is and in fact the entire balance has been paid off per the invoices we have received At the end of the day, we are all a consumer somewhere along the line and we try to do what is right by the people or companies we do business withIt's the right thing to do! In this instance we as the consumer, were lead down a path that simply did not exist and we should never have been allowed treatment if insurance coverage was not there with the premise that e had coverage This is why the complaint was initiated in the first place We do not want to see this happen to anybody else that is in our same position and we feel it fitting that we be reimbursed the moneys that should have been paid by our insurance Thank you for your time and consideration [redacted] *** On Mon, Aug 11, at 9:AM, Zoey wrote: This was my original complaint: My Husband started a new job and with that, we got dental insurance! Yeah! after going to [redacted] 's office six different times, (we each went three times) my husband went to his company and THEY (his company) informed him that [redacted] was not a dentist office that accepted our insuranceHe then went back to [redacted] 's office and informed them that our insurance wasn't going through because they don't take our insurance [redacted] 's office should have never let us go for that many visits without letting us know they didn't take our insuranceAs a result my husband and I had racked up our dental bill to $ [redacted] reviewed our "error in communication" and "in courtesy" lowered our bill $resulting in the bill amount of $They expected two payments of $over the period of two months to pay off our billBeing a family of five, we could not pay that much in such a short amount of timeMy husband and I agreed that we could make them $a week payments until the bill was paid off [redacted] then wrote us back stating, " I would like to provide you with the discounted fee as a courtesy, however I cannot extend the courtesy of $while also breaking the payment up for six months." [redacted] then added back on the $So, in the end we paid the full amount of $I don't understand why they let us keep coming if they didn't take our insuranceMost health offices find out before, or the day of, if they accept one's insurance [redacted] told us that it was ultimately the patients responsibility to find out which offices took our insurance [redacted] apologized for the "error in communication." This is how I asked them to resolve it: I feel that there was obviously an error in communication, but I dont' feel that we the patient should have had to pay the full amount of the bill [redacted] being a office that provides people with health services, [redacted] should know before hand who's insurance they take and don't take [redacted] should inform patients with an itemized bill of the cost of services patients are going to receive BEFORE patients recieve themI would like the amount back that our insurance would have paid This was their Respose: In response to complaint # [redacted] : When Mr [redacted] then confidently reported being referred by a coworkerMr [redacted] then confidently reported that he was working for the same company and was on the same group number as his coworker, as we are all of the workers at the same companyUnfortunately, Mr [redacted] did not realize that his coworker was a senior employeeMr [redacted] also did not realize that he was a new employee in a probationary period with a different dental insurance than his coworkerMr [redacted] believed he had Delta PPO Insurance like his coworker, however he had Delta USA-HMOAt the time [redacted] had no dental insurance coverage that I am aware of As we submit claims to the insurance companies, often times, time is required to process the forms and gather informationWe were not aware that the ***s were not "eligble" for benefits in our office until after their treatment had been completedWe do not have a contract for Delta Care USA-HMO and are therefore not providers and have no information regarding their benefit scheduleWe do not however have a contract with Delta PPOAs a courtesy to the [redacted] family we did extend a few reasonable solutions to help them pay for their treatmentNot being insured their balance should have been $1, As a Delta PPO patient Mr***'s balance would have been $Mr [redacted] would likely have had a co-pay of some amount to be shared with the insurance company for full paymentBecause Mr [redacted] had no benefits in this office his total should have been $1, Without insurance Mrs***'s balance would have been $If she had Delta PPO her balance would have been $ In total the [redacted] family's total without insurance should have been $, If they had Delta PPO their total would have been $1,Which would likely have had a copay to be shared with the insurance company As a courtesy to the ***, I offered a discount form a no insurance fee, to the discounted insurance fee (which they did not have)Additionally I offered them a couple of payment arrangementsThey could have an additional $discount two $payments over two months or they could pay their total discounted balance in weekly $payments (per Mr***s request) over seven monthsIn January 2014, Mr [redacted] apologized for the miscommunication and agreed to pay his balance over seven monthsAs of July 7, Mr [redacted] has made his weekly payments as plannedSince July 7th we have not received another payment from Mr***, who's balance of $is now days past due Contrary to the accusation by Mrs***, we were not aware that Mr [redacted] had provided our office with the incorrect insurance informationWe did not intentionally "allow them to keep coming." Both Mrand Mrs [redacted] had initiated, scheduled and completed treatment within daysThis was a short window of time and unfortunately, like my office, the ***s also were not made aware, by their insurance carrier that they did not have coverage immediatelyThe insurance claims for treatment were submitted by mail and took time to determine there was no such coverageTypically patients know what kind of insurance plans they have and are able to get an accurate use of their insurance benefits As a result, I believe that however unfortunate, the error was a result of being provided with inaccurate informationMr [redacted] accepted responsibility for the "miscommunication," and agreed to make small affordable payments over time as we had agreed If you should need any additional information, please let me know
I am rejecting this response because: When my Husband ( [redacted] ***) initially came to your office in such a confident manner, it was because we assumed we would be getting the utmost professional care both from the dentist, as well as the support staff We too feel this is a very unfortunate circumstance and as consumers should not have been treated in the manner that we were treated It is true that [redacted] did provide the the office personnel with the group ID number but also with his individual policy # and in fact his dental insurance card This would have clearly been nothing more than a phone call from the office person to the insurance company to ensure that the policy was in fact in place and correct with the correct coverageWe in fact called multiple dental offices to verify this procedure Giving this person the benefit of the doubt that what they were doing is THEIR office or STANDARD policy/procedure, I find it rather disturbing that they would actually perform services for clients under pretenses that they actually had some form of dental coverage when in fact they had not accurately verified this prior to ANY services being rendered regardless of the time frame for which these services were performed As for the billing; we do appreciate any discounts that may have been provided, but the final pricing still does not tabulate to a correct balance and at this point we are truly unsure of what the actual balance is and in fact the entire balance has been paid off per the invoices we have received At the end of the day, we are all a consumer somewhere along the line and we try to do what is right by the people or companies we do business withIt's the right thing to do! In this instance we as the consumer, were lead down a path that simply did not exist and we should never have been allowed treatment if insurance coverage was not there with the premise that e had coverage This is why the complaint was initiated in the first place We do not want to see this happen to anybody else that is in our same position and we feel it fitting that we be reimbursed the moneys that should have been paid by our insurance Thank you for your time and consideration [redacted] *** On Mon, Aug 11, at 9:AM, Zoey wrote: This was my original complaint: My Husband started a new job and with that, we got dental insurance! Yeah! after going to [redacted] 's office six different times, (we each went three times) my husband went to his company and THEY (his company) informed him that [redacted] was not a dentist office that accepted our insuranceHe then went back to [redacted] 's office and informed them that our insurance wasn't going through because they don't take our insurance [redacted] 's office should have never let us go for that many visits without letting us know they didn't take our insuranceAs a result my husband and I had racked up our dental bill to $ [redacted] reviewed our "error in communication" and "in courtesy" lowered our bill $resulting in the bill amount of $They expected two payments of $over the period of two months to pay off our billBeing a family of five, we could not pay that much in such a short amount of timeMy husband and I agreed that we could make them $a week payments until the bill was paid off [redacted] then wrote us back stating, " I would like to provide you with the discounted fee as a courtesy, however I cannot extend the courtesy of $while also breaking the payment up for six months." [redacted] then added back on the $So, in the end we paid the full amount of $I don't understand why they let us keep coming if they didn't take our insuranceMost health offices find out before, or the day of, if they accept one's insurance [redacted] told us that it was ultimately the patients responsibility to find out which offices took our insurance [redacted] apologized for the "error in communication." This is how I asked them to resolve it: I feel that there was obviously an error in communication, but I dont' feel that we the patient should have had to pay the full amount of the bill [redacted] being a office that provides people with health services, [redacted] should know before hand who's insurance they take and don't take [redacted] should inform patients with an itemized bill of the cost of services patients are going to receive BEFORE patients recieve themI would like the amount back that our insurance would have paid This was their Respose: In response to complaint # [redacted] : When Mr [redacted] then confidently reported being referred by a coworkerMr [redacted] then confidently reported that he was working for the same company and was on the same group number as his coworker, as we are all of the workers at the same companyUnfortunately, Mr [redacted] did not realize that his coworker was a senior employeeMr [redacted] also did not realize that he was a new employee in a probationary period with a different dental insurance than his coworkerMr [redacted] believed he had Delta PPO Insurance like his coworker, however he had Delta USA-HMOAt the time [redacted] had no dental insurance coverage that I am aware of As we submit claims to the insurance companies, often times, time is required to process the forms and gather informationWe were not aware that the ***s were not "eligble" for benefits in our office until after their treatment had been completedWe do not have a contract for Delta Care USA-HMO and are therefore not providers and have no information regarding their benefit scheduleWe do not however have a contract with Delta PPOAs a courtesy to the [redacted] family we did extend a few reasonable solutions to help them pay for their treatmentNot being insured their balance should have been $1, As a Delta PPO patient Mr***'s balance would have been $Mr [redacted] would likely have had a co-pay of some amount to be shared with the insurance company for full paymentBecause Mr [redacted] had no benefits in this office his total should have been $1, Without insurance Mrs***'s balance would have been $If she had Delta PPO her balance would have been $ In total the [redacted] family's total without insurance should have been $, If they had Delta PPO their total would have been $1,Which would likely have had a copay to be shared with the insurance company As a courtesy to the ***, I offered a discount form a no insurance fee, to the discounted insurance fee (which they did not have)Additionally I offered them a couple of payment arrangementsThey could have an additional $discount two $payments over two months or they could pay their total discounted balance in weekly $payments (per Mr***s request) over seven monthsIn January 2014, Mr [redacted] apologized for the miscommunication and agreed to pay his balance over seven monthsAs of July 7, Mr [redacted] has made his weekly payments as plannedSince July 7th we have not received another payment from Mr***, who's balance of $is now days past due Contrary to the accusation by Mrs***, we were not aware that Mr [redacted] had provided our office with the incorrect insurance informationWe did not intentionally "allow them to keep coming." Both Mrand Mrs [redacted] had initiated, scheduled and completed treatment within daysThis was a short window of time and unfortunately, like my office, the ***s also were not made aware, by their insurance carrier that they did not have coverage immediatelyThe insurance claims for treatment were submitted by mail and took time to determine there was no such coverageTypically patients know what kind of insurance plans they have and are able to get an accurate use of their insurance benefits As a result, I believe that however unfortunate, the error was a result of being provided with inaccurate informationMr [redacted] accepted responsibility for the "miscommunication," and agreed to make small affordable payments over time as we had agreed If you should need any additional information, please let me know