Crosspoint Dentistry

Please review the response to complaint ID [redacted] We are very sorry that the complainant was unable to provide the correct insurance information in a timely matter as that is what resulted in the balance Our records show that the patient was contacted on 4/11/13, the day after her visit informing her that the insurance she provided did not have a record of her and she did not have dental benefits and to please call with the correct information As a courtesy, we waited to hear from the patient before billing her but due to lack of response we sent a statement on 11/21/ We have no record of a response or payment following the first statement It should also be noted that a claim can not be sent to the [redacted] as she was not a member with dental benefits so it was pointless to submit a claim A second statement was sent on 1/21/ The patient then called to advise that [redacted] was indeed the correct carrierOur records show that [redacted] was contacted regarding the date of service and time lapse and the representative advised that the claim submission date had lapsed and claim submission would result in non payment There were also multiple phone calls between the patient, our office and [redacted] so all parties were well informed of the situation.In summary, every attempt was made to the patient and all dental benefits carriers in order to provide the care and service that is customary in our officeUnfortunately our hands were tied in that so much time had lapsed prior to the patient providing the correct dental benefit.Please also note the HIPAA was not violated as the patient's name was not mentioned in the letter

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint For your reference, details of the offer I reviewed appear below [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, [redacted] I was never notified of insurance rejection due to a claim never being submitted by this office to ***their response to the Revdex.com complaint should have had nothing to do with my diagnoses which they shared with you which is a clear violation of hippa laws and I will be addressing that next Never was a claim submitted to [redacted] or [redacted] I was not notified of any balance until almost two years later That Is the issue I never was notified by phone, cell phone, voicemail, answering machine, or mail either by [redacted] 's office staff, or either insurance company They clearly did not file the claim let alone file anything in a timely manner, I had insurance and should not have owed $I am not denying going to them for a treatment option or second opinion, I am upset about their non billing of my insurance

Revdex.comBryant Woods SouthAmherst, NY 14228June 23, 2015To whom it may concern,In regards to complaint ID [redacted] , the patient was seen in our office on 4/19/for facial swelling from a dental infectionThe patient was examined and referred to an oral surgeon for treatment due to the severity of the infectionThe patient's account was charged and a claim was sent to [redacted] *** [redacted] as that was the Insurance company given by the patient at the time of serviceAll patients at the time of service are notified of and sign as proof of receipt our financial policy which states that balances not covered by dental insurance are the responsibility of the patient.Upon further investigation, the patient did not have dental benefits with [redacted] and was notified by voicemall to please call the office with the correct dental InsuranceThe patient did not provide the correct carrierThe account went past due and the patient was billedThe patient did not call with the correct provider, [redacted] until she was advised that she would be sent to collectionsAfter receiving the correct carrier, two years later, [redacted] was contacted by this office to advise them of the situation in which they said all claims would be denied due to length of time that hadpassed.As with most businesses, upon receiving care, charges are submitted to the dental insurance provider but it requires that the patient give the correct inormationUnfortunately we felt our hands were tied in this situation as we did our best to make all parties aware of the error

Revdex.com100 Bryant Woods SouthAmherst, NY 14228June 23, 2015To whom it may concern,In regards to complaint ID [redacted], the patient was seen in our office on 4/19/13 for facial swelling from a dental infection. The patient was examined and referred to an oral surgeon for treatment...

due to the severity of the infection. The patient's account was charged and a claim was sent to [redacted] as that was the Insurance company given by the patient at the time of service. All patients at the time of service are notified of and sign as proof of receipt our financial policy which states that balances not covered by dental insurance are the responsibility of the patient.Upon further investigation, the patient did not have dental benefits with [redacted] and was notified by voicemall to please call the office with the correct dental Insurance. The patient did not provide the correct carrier. The account went past due and the patient was billed. The patient did not call with the correct provider, [redacted] until she was advised that she would be sent to collections. After receiving the correct carrier, two years later, [redacted] was contacted by this office to advise them of the situation in which they said all claims would be denied due to length of time that hadpassed.As with most businesses, upon receiving care, charges are submitted to the dental insurance provider but it requires that the patient give the correct inormation. Unfortunately we felt our hands were tied in this situation as we did our best to make all parties aware of the error.

Please review the response to complaint ID [redacted]We are very sorry that the complainant was unable to provide the correct insurance information in a timely matter as that is what resulted in the balance.  Our records show that the patient was contacted on 4/11/13, the day after her visit informing her that the insurance she provided did not have a record of her and she did not have dental benefits and to please call with the correct information.  As a courtesy, we waited to hear from the patient before billing her but due to lack of response we sent a statement on 11/21/14.  We have no record of a response or payment following the first statement.  It should also be noted that a claim can not be sent to the [redacted] as she was not a member with dental benefits so it was pointless to submit a claim.  A second statement was sent on 1/21/15.  The patient then called to advise that [redacted] was indeed the correct carrier. Our records show that [redacted] was contacted regarding the date of service and time lapse and the representative advised that the claim submission date had lapsed and claim submission would result in non payment.  There were also multiple phone calls between the patient, our office and [redacted] so all parties were well informed of the situation.In summary, every attempt was made to the patient and all dental benefits carriers in order to provide the care and service that is customary in our office. Unfortunately our hands were tied in that so much time had lapsed prior to the patient providing the correct dental benefit.Please also note the HIPAA was not violated as the patient's name was not mentioned in the letter.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
[redacted]
I was never notified of insurance rejection due to a claim never being submitted by this office to [redacted]. their response to the Revdex.com complaint should have had nothing to do with my diagnoses which they shared with you which is a clear violation of hippa laws and I will be addressing that next.  Never was a claim submitted to [redacted] or [redacted]. I was not notified of any balance until almost two years later.  That Is the issue.  I never was notified by phone, cell phone, voicemail, answering machine, or mail either by [redacted]'s office staff, or either insurance company.  They clearly did not file the claim let alone file anything in a timely manner, I had insurance and should not have owed $73. I am not denying going to them for a treatment option or second opinion, I am upset about their non billing of my insurance.