Brenda R Gentry DDS PA

I am writing In response to complaint ID of ***This procedure was needed due to the bone loss and subgingival calculus found on radiographs and chairslde with given periodontal chartingOur team preformed the best treatment needed for *** ***Her Insurance carrier decided that it
was not covered due to their own specificationsIt was noted that as the treating Dentist for *** ***, I absolutely disagreed with the non-chairside decision by the insurance Dentist, Our conversation was exactly that, a total disagreement on what they were saying treatment should have been versus what needed to be given, It is unfortunate that it was her insurance carrier's decisionOur team appealed this issue three different times In order to gain paymentThis Issue should be brought to the Insurance providerThis is a triangulation situation between the insured, the providing dentist and the insurance carrier, We treat each patient as that a patient, not treating the patient depending on their InsuranceThe fact is that this has never been an issue ever in my practice since Each patient seen has consent for treatment and a signed document stating the estimate of insurance coverage, being that we cannot know exactly what insurance will pay and that after 6o days this amount becomes the responsibility of the patientSee below for the statement about insurance that each patient signs so that they know It is their responsibility for any amount Insurance does not cover"The fees listed on this outline will be honored for days from the above dateAfter this time, the fees are subject to adjustmentPatients with Dental Insurance: As courtesy to you, we do accept assignment of benefits from most Insurance companiesThis will reduce your Immediate out of pocket expendituresThe outlined estimate is based on LIMITED information obtained from your Insurance companyYou are responsible for the TOTAL TREATMENT FEEWe allow days for your insurance company to make paymentAfter this time we will expect payment in full from you and the collection of payment from your insurance company become your responsibility,"We extended this time over and beyond the days because we argued on *** ***'s behalf to her insurance companyWe have offered 25% off of her services that have been rendered on December 29, and January 5, 2016. Respectfully,*** * *** *** **