Architectural Resources Inc

Per the original request, we have confirmation that the claim has been processed and paid by the insurance provider. A refund will be issued to the insurance provider this Friday for the account to be properly updated. Please allow 2-3 weeks for the refund to arrive and be processed. If you have further questions at that time, please contact [redacted] at ###-###-####.We are also further investigating this situation to understand the situation and take steps to ensure our patients are receiving the quality comprehensive dentistry the want, need and deserve. Thank you for bringing this to our attention as we take all feedback very seriously.[redacted]Director of Marketing

ImmediaDent takes great pride in providing an exceptional patient experience before, during and after their visit. We have looked into this patients account and will be providing a refund to the insurance as soon as the claim has been processed. The claim was sent on 5/22/2016 so this could take up...

to 4 weeks. If the patient has any further questions, they can reach out to [redacted] at [redacted] or ###-###-####.Thank you,[redacted]Director of MarketingSamson Dental Partners / ImmediaDent

ImmediaDent is focused on providing quality comprehensive same-day dentistry from 9 am to 9 pm, seven days a week.  Before presenting treatment and estimated fees to our patients, we contact the patient’s dental plan to get an estimate of coverage. This is an estimate and is not...

guaranteed, from the dental plan that we then share with our patients. Unfortunately, there are times when the information that is provided does not end up being 100% accurate.  In this instance, the patient was treatment planned with the dental plan covering 85%. However, after the work was completed and submitted to the dental plan, they denied coverage for code [redacted] (Bone Graft). The financial services agreement, signed by the patient, lists under “treatment planned estimates --- treatment plans provided are an estimate of care and are a good-faith attempt to predict the cost of the patient's treatment based on the facts known to ImmediaDent when the estimate occurred. "Thank you and please let me know if you need additional information.

ImmediaDent is focused on providing quality comprehensive same-day dentistry from 9 am to 9 pm, seven days a week.  Before presenting treatment and estimated fees to our patients, we contact the patient’s dental plan to get an estimate of coverage. This is an estimate and is not...

guaranteed, from the dental plan that we then share with our patients. Unfortunately, there are times when the information that is provided does not end up being 100% accurate. In this instance, our team had an over-site in the waiting period necessary for treatment to be covered by the dental plan. Due to our over-site, the patients balance has been written off and will no longer be responsible. Please let us know if you have any additional questions.  Thank you.

First off we would like to apologize greatly for the confusion in regards to your visit to our office. We strive to provide that best comprehensive dentistry and take all complaints seriously.  At this time I would like to encourage you to reach out to our Patients Account Manager directly...

at [redacted]. I’m confident that she will be able to answer all your questions in regards to your treatment plan, and provided any documentation needed.  All the best,  [redacted]

ImmediaDent  Case# [redacted]  ImmediaDent is focused on providing quality, comprehensive same-day dentistry from 9 am to 9 pm, seven days a week.  Before presenting treatment and estimated fees to our patients, we contact the patient’s dental plan to get...

an unguaranteed estimate of coverage. Unfortunately, there are times when the information that is provided does not end up being 100% accurate. If your insurance did not cover the entirety of the treatment, you will need to contact your insurance carrier for clarification. The claim for  4/7/2016 was denied due to the benefit max reached. The patient responsibility was $115.00. This balance carried through February 23, 2017. The patient was making payments, but only towards the current services. The patient received composite fillings on February 26, 2017. The insurance downgraded those fillings. The patient incurred additional out-of-pocket expenses; however, the payment was over our estimate ($109) and was applied toward the balance ($115.00). The patient responsibility would have been $75.80, which left a balance of $4.99. According to the Verification of Benefits, these composites are not a covered benefit. The patient returned for the crown placement on March 12, 2017. Insurance downgraded this crown. Patient responsibility was $127.50 and patient had paid $80.29 on March 12, 2017. With a few fee-schedule adjustments, the balance is now $48.19. Overall, the patients benefits maxed, and the insurance downgraded on procedures that caused the difference in the upfront estimates. Because it was known that the fillings would be downgraded, I have adjusted off the balance of $48.19. I encourage you to reach out to our Patient Accounts Manager at ###-###-#### for additional assistance.  All the best,  Erin [redacted] |  Patient Services Specialist

ImmediaDent takes great pride in providing quality comprehensive and convenient care to our patients. [redacted] has been in communication with this patient and has stated that it has been resolved. We are happy to report the patient will be returning to complete the original...

treatment. If the patient has any further questions, they can reach out to [redacted] (###-###-####) or [redacted] (###-###-####).Thank you,[redacted]Director of MarketingSamson Dental Partners / ImmediaDent

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Assumed Answered]
Complaint: [redacted]
I am rejecting this response because: After receiving this response via the Revdex.com, I email [redacted] to check on whether or not she had received the same information, I also emailed her a written request to supply the insurance company with a letter stating that the benefits should not have been claimed by Immediadent and a copy of the EOB showing they were paid. I also included a HIPAA form allowing me to talk to her about my husband's account, which I was told by her that was required just to request the refund and letter to the insurane company. I have yet to hear back from her.Further more, my husband saw another dentist just yesterday. (One that I have visited myself and our kids love) They took more xrays and showed him on the xrays that he did not have any cavities, not a single one. Said that his teeth were great for a man his age and that there was absolutely no need for a Deep Cleaning. So not only did they try to max out our insurance, evident in the attached estimate/treatment plan, they were going to drill on teeth that had no cavities!!!!!!! This is information is being given to our Dental Insurance company.I want the letter that I requested sent to the Dental Insurance with the refund to them as soon as possible.
Regards,
[redacted]

We
take great pride in serving our patients, as we strive to be the best place for
our patients to receive care. Our billing department has reviewed this account
and has made the requested adjustment. Due to HIPAA regulations, we cannot go into any details of the
account. The patient can...

contact [redacted] in our Billing department directly
for more details at ###-###-####.
Please let me know if
there is any additional information I can provide.
Thank you.[redacted]Director of Marketing

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  If I continue to receive bills from this vendor I will open a second case.
Regards,
[redacted]