Brite Dental

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have deter***ed that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear belowAfter
reviewing the letter from Brite Dental, I write to clarify the main point of my
original claim, which Brite Dental fails to understand or is willfully ignoring
First, it is apparent from reading the letter that Brite Dental is unaware of
is willfully disregarding its duty to provide its patients with an estimated
cost prior to beginning treatmentAccording to Patient Right #of the Dental
Patient Rights and Responsibilities Statement of the American Dental
Association (ADA), patients “have a right to know in advance the expected cost
of treatment.” (See attached)In contrast, Brite Dental claims that “we do not
know the exact amount of the copayment before we receive the EOB from the insurance
company… it is the patients’ responsibility to pay the amount that the EOB
states.” This assertion completely ignores and violates Patient Right #Brite
Dental’s assertion reflects its standard of practice, which is that it cannot
provide information regarding the expected amount of treatment cost before it
completes and submits the claim to the insurerIn fact, Brite Dental could
have resolved the issue before treating me, because I had provided it with a
copy of my insurance card weeks before the appointmentBefore perfor***g any
work, both the dentist and the office clerk confirmed that the entire cost of
the work would be covered by insurance and that there would be no
co-pay/co-insurance required from meNot only were these assurances false, but
they were obviously intended to induce me to permit Brite Dental to provide the
required dental carePrior to the procedure, I did not receive any form of
treatment plan that included the costI was not concerned about this lack of
information, because I accepted the assurance from the dentist and the clerk
that all costs would be paid by my insuranceCharging patients unreasonable
and outrageous fees without infor***g them before treatment is unethical, a
violation of their rights, and completely unacceptable
In addition, the
appointment, mentioned from Brite Dental’s letter, scheduled for treating teeth
#8, #9, and #was canceled, but it seems that the office failed to update their
scheduling systemI would like to resolve this issue as soon as possibleI
demand that Brite Dental immediately cancel its bill in the amount of $
If this cannot be resolved, I will consider reaching out to local and state
regulatory agencies for further assistance
Regards,
*** ***

Respond to Complaint for assigned ID of ***Dear *** ***:
COMPLAINT INFORMATION
Customer Information:
*** ***
** *** Circle Buena Park ,
CA ***
Daytime Phone: ***
Evening Phone: ***
E-mail: ***@gmail.com
This letter is regarding to the consumer's complaint letter which received on April 22, First, we would like to apologize for the miscommunication between the patient named above and our staff, and for the error that made by our officeWe received a phone call from Blue Shield of California for verification of the claim for teeth #8, 9, and After the investigation of that claim, we found out that it was billed an errorIt was just a treatment plan not an actual treatmentAt first office visit, we decided to do all treatment that he needed, so we also made him an appointment to treat teeth #8, 9, and However, he did not show up to our office after the treatment on teeth #20, 21, 28, and We wrote a letter to the Blue Shield of California about this and have returned the check amount of $which was for the treatment on teeth #8, and We confirmed with the insurance company that it has been cleared from the patient treatment historyWhile we were doing the investigation, we noticed that we never get the copayment for the treatment that we processedWe supposed to receive a copayment after receiving a copy of explanation of benefit(EOB) from insurance company since we do not know exact amount of copayment before we receive EOB from insurance companiesTherefore, we sent his account balance with a copy of EOB by mailSo it is the patients' responsibility to pay the amount of EOB statesWe do not want to argue this problem with the patient but we just want to clarify this problem and let the patient know not all treatments is paid 100% by insurance company which means that the patient is responsible for the amount stated by the insurance company's EOB
Regards,
Brite Dental

Consumer complaint #***

Review: Due to diagnosis made by a dentist at Brite Dental, patient, [redacted], went to the office on 11/15/2013 to receive treatment on teeth #20, 21, 28, and 29. Prior to the treatment, the dentist and the office clerk confirmed that the patient's dental insurance will cover 100% the cost of the treatment and there will be no co-pay from the patient. Patient trusted what was informed and agreed to proceed.In March 2014, patient went to a different dentist for a regular check up and was informed that there's a cavity that requires treatment on tooth #8. However, the dentist told the patient that the insurance history shows this tooth has already been treated by a different dentist in December 2013. Knowing that he had not gone to any dentist in December 2013, patient called the insurance company, Blue Shield of California. The insurance company confirmed that Brite Dental claimed an office visit on 12/11/13 for treatment of teeth #8, 9, and 30. Patient reported the visit had not occurred. The insurance company called the dental office for verification. The dental office also agreed that the visit did not occur and will remove what was claimed (ref# [redacted]).Approximately 2 hours after the call, the patient received a call from a clerk at Brite Dental. The clerk informed him the insurance did not pay them enough to cover the treatment cost for the teeth treated on 11/15/2013. Therefore, they had created a visit for 12/11/13 and claimed the insurance company that the other teeth were treated. The clerk requested the patient to cancel what he had reported to the insurance company or he will be responsible for the cost of $507.40. Patient refused on their request and he received the bill on 3/8/14.The patient was never informed of the required co-pay prior to the treatment and had never agreed on fraudulent claim toward the insurance. He does not believe he is responsible for the claimed amount from the dental office, as he would not have received the treatment if he was asked for the co-pay amount of $507.40.Desired Settlement: Cancellation of the bill amount $507.40

Business

Response:

Respond to Complaint for assigned ID of [redacted]

Dear [redacted]:

COMPLAINT INFORMATION

Customer Information:

[redacted] Circle Buena Park , CA [redacted]

Daytime Phone: [redacted]

Evening Phone: [redacted]

E-mail: [redacted]@gmail.com

This letter is regarding to the consumer's complaint letter which received on April 22, 2014. First, we would like to apologize for the miscommunication between the patient named above and our staff, and for the error that made by our office. We received a phone call from Blue Shield of California for verification of the claim for teeth #8, 9, and 30. After the investigation of that claim, we found out that it was billed an error. It was just a treatment plan not an actual treatment. At first office visit, we decided to do all treatment that he needed, so we also made him an appointment to treat teeth #8, 9, and 30. However, he did not show up to our office after the treatment on teeth #20, 21, 28, and 29. We wrote a letter to the Blue Shield of California about this and have returned the check amount of $249.90 which was for the treatment on teeth #8, 9 and 30. We confirmed with the insurance company that it has been cleared from the patient treatment history. While we were doing the investigation, we noticed that we never get the copayment for the treatment that we processed. We supposed to receive a copayment after receiving a copy of explanation of benefit(EOB) from insurance company since we do not know exact amount of copayment before we receive EOB from insurance companies. Therefore, we sent his account balance with a copy of EOB by mail. So it is the patients' responsibility to pay the amount of EOB states. We do not want to argue this problem with the patient but we just want to clarify this problem and let the patient know not all treatments is paid 100% by insurance company which means that the patient is responsible for the amount stated by the insurance company's EOB.

Regards,

Brite Dental

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and have deter[redacted]ed that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.