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Bailey's Floor Service

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Reviews Bailey's Floor Service

Bailey's Floor Service Reviews (1)

Initial Business Response /* (1000, 5, 2016/02/18) */
I had been advised by my receptionist about the above mentioned concernShe advised me that the Father of the patient was very upset to find out that the insurance only paid a portion of the balance because we were not in-network providersLet
me start by saying that we (the dental provider) are not required under any law to file or confirm patient insurance benefitsWe do that as a courtesy for patientsWe are not obligated to do thatThere are dental offices that do not even file insurance for patients, rather they expect patients to pay up front and let the patient's insurance reimburse the patient directlyIn addition to that, insurance companies will state on any documentation they provide that there is no guarantee of payment until the claim has been processedWe do make every attempt to verify patient benefits, again, as a courtesyHowever, we are often advised incorrectly by the insurance representative about those benefits because their systems are often slow to update, or the reps are not trained well to know the plansThat being said, we do our best to try to receive accurate information so that these things happen as infrequent as possibleThe $courtesy was extended not because "we realize we are at fault," but because we were simply trying to be courteousIt is the patient's responsibility to know what their Insurance benefits and plans are and who is or is not in network with that planWe do not own the plan, the patient doesIt has happened on more than one occasion where the insurance has said we were in network on the insurance website, only to find out that they have not updated their websiteWe cannot be responsible for every patient's insurance plan and when the insurance chooses to change policy, benefits, or who is in or out of networkThat is up to the patient to confirm and stay on top ofMy receptionist said that she was apologetic, not because we were at fault for not knowing the details of your plan, but that we regret any situations that result in a situation that is not what the patient is expectingWe do our very best to advise our patients of what to expect both in treatment and financial obligations and we truly want to provide the best experience possibleThat's why we apologized and extended the courtesyI regret that this situation occurred, and based on that I agree to accept the $deductible payment and we will write-off the remaining balanceI am surprised to know that if you realized you were responsible for the $deductible why your daughter did not have that to pay at the time of serviceMy recommendation is to always confirm your benefits yourself in the future, and if the provider is in or out of network and to consult with your HR person to make sure that you have all your policy informationUnfortunately the insurance situation is becoming something that only having a full time attorney in your office to call and verify benefits would allow us to get 100% accurate informationBut that is where things are headed
Initial Consumer Rebuttal /* (2000, 7, 2016/02/18) */
(The consumer indicated he/she ACCEPTED the response from the business.)
While we can debate all aspects of this situation I would rather notUpon receipt of a new bill, reflecting a total due of $50.00, I will immediately make the paymentI accept the terms

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