Avia Dental Care

This letter is in response to the above complaint from [redacted] We billed all services to patients’ insurance and the services were denied We then proceeded to appeal the denied claims and which were again denied The balance on the account in question then included the patients’ portion of his co-pays and the denied claim from the insurance We billed the patients, wrote emails, and also sent certified mail There was no response from either patient with calls and they apparently moved and did not notify our office of their new address.We sent several statements and still no response, we bill out to insurances with no certainties from them, this is a difficult thing to relay to patients but most patients do not look at their explanation of benefits (EOB) to see their co-pays and read explanations on services We always try to be transparent and we have over years of experience and still are baffled at the amount of claims we have to fight We did rebut these claims, and that is the reason for the late notice to the patient as claims can remain open for up to months, especially when we are appealing the claims We do try to let the patient know that this is a process, and always we tell patients that there is no guarantee of payment from insurance, we bill all services as a courtesy But with the years of experience we do try to get a close idea Also, we always will work with our patients if they relay to us they are in financial difficult times We offer payment plans and certain credit options In this case, the patient did not phone us or contact us until several months after the claims closed We take time with our patients to go over balances to show patients where there balances stem from It can be difficult to understand but again their EOB explains all procedures that have been completed and billed I am attaching correspondence with the patient; certified letters and all statements sent When this account was sent to collections much time had passed, we give patient every opportunity to resolve the balances and we probably wait too long but we do not take pleasure in sending anyone to collections If this patient had ever reached out to make payment arrangements due to their financial status we would of worked out a payment plan At the end of the day we run a business and we take pride in the years of experience we have and the transparency we always seek out as well as ethical practices we strive to always achieve If any further information please contact us @ [redacted] .Respectfully [redacted] Office ManagerAvia Dental Care [redacted]

This letter is in response to the above complaint from [redacted].  We...

billed all services to patients’ insurance and the services were denied.  We then proceeded to appeal the denied claims and which were again denied.  The balance on the account in question then included the patients’ portion of his co-pays and the denied claim from the insurance.  We billed the patients, wrote emails, and also sent certified mail.  There was no response from either patient with calls and they apparently moved and did not notify our office of their new address.
We sent several statements and still no response, we bill out to insurances with no certainties from them, this is a difficult thing to relay to patients but most patients do not look at their explanation of benefits (EOB) to see their co-pays and read explanations on services.  We always try to be transparent and we have over 25 years of experience and still are baffled at the amount of claims we have to fight.  We did rebut these claims, and that is the reason for the late notice to the patient as claims can remain open for up to 18 months, especially when we are appealing the claims.  We do try to let the patient know that this is a process, and always we tell patients that there is no guarantee of payment from insurance, we bill all services as a courtesy.   But with the years of experience we do try to get a close idea.  Also, we always will work with our patients if they relay to us they are in financial difficult times.  We offer payment plans and certain credit options.  In this case, the patient did not phone us or contact us until several months after the claims closed.  We take time with our patients to go over balances to show patients where there balances stem from.  It can be difficult to understand but again their EOB explains all procedures that have been completed and billed.  I am attaching correspondence with the patient; certified letters and all statements sent.  
When this account was sent to collections much time had passed, we give patient every opportunity to resolve the balances and we probably wait too long but we do not take pleasure in sending anyone to collections.   If this patient had ever reached out to make payment arrangements due to their financial status we would of worked out a payment plan.  At the end of the day we run a business and we take pride in the years of experience we have and the transparency we always seek out as well as ethical practices we strive to always achieve.  
If any further information please contact us @ [redacted].
Respectfully
[redacted]
Office Manager
Avia Dental Care
[redacted]

This letter is in response to the above complaint from [redacted].  We billed all services to patients’ insurance and the services were denied.  We then proceeded to appeal the denied claims and which were again denied.  The balance on the account in question then included the...

patients’ portion of his co-pays and the denied claim from the insurance.  We billed the patients, wrote emails, and also sent certified mail.  There was no response from either patient with calls and they apparently moved and did not notify our office of their new address.We sent several statements and still no response, we bill out to insurances with no certainties from them, this is a difficult thing to relay to patients but most patients do not look at their explanation of benefits (EOB) to see their co-pays and read explanations on services.  We always try to be transparent and we have over 25 years of experience and still are baffled at the amount of claims we have to fight.  We did rebut these claims, and that is the reason for the late notice to the patient as claims can remain open for up to 18 months, especially when we are appealing the claims.  We do try to let the patient know that this is a process, and always we tell patients that there is no guarantee of payment from insurance, we bill all services as a courtesy.   But with the years of experience we do try to get a close idea.  Also, we always will work with our patients if they relay to us they are in financial difficult times.  We offer payment plans and certain credit options.  In this case, the patient did not phone us or contact us until several months after the claims closed.  We take time with our patients to go over balances to show patients where there balances stem from.  It can be difficult to understand but again their EOB explains all procedures that have been completed and billed.  I am attaching correspondence with the patient; certified letters and all statements sent.  When this account was sent to collections much time had passed, we give patient every opportunity to resolve the balances and we probably wait too long but we do not take pleasure in sending anyone to collections.   If this patient had ever reached out to make payment arrangements due to their financial status we would of worked out a payment plan.  At the end of the day we run a business and we take pride in the years of experience we have and the transparency we always seek out as well as ethical practices we strive to always achieve.  If any further information please contact us @ [redacted].Respectfully[redacted] [redacted]
Office ManagerAvia Dental Care[redacted]