Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] I have not received any contact from DentaQuest representatives, it seems from their late response to Revdex.com, they have major issues with their management, very tellingI will await further noticethank YOU Revdex.com Regards, [redacted] ***
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below The response is vague and lacks any specifics on what action the business will take Regards, [redacted]
Hi, We did not receive this original complaint The second notification of this complaint was received by us on Sunday, February 12th I am out of the office and have an out of office rule, and will be returning to the office on Wednesday, February 15th In my absence I have had [redacted] work on this issue and he is attempting to respond to the complaint Also, I received a call from [redacted] last Wednesday and supplied all of my contact information [redacted] reached out to her today and has made her aware of the current circumstances surrounding this issue and is attempting to resolve this matter We can and will refund the money to the complainant, but first are trying to contact this member to make the situation right, but giving a credit and attempting to retain his business I respectfully ask that since the first time we were aware and contacted on this complaint was the end of last week, that this not be closed as no response The Admin of the Office of the CEO put [redacted] in contact with me as the last contact on record was [redacted] , who was our prior CEO years ago I believe that this was sent to her in error and that is why it was not received Now [redacted] at Revdex.com has updated all records and contacts to have me listed as the point of contact for these matters Thank you, [redacted] ***
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please reword ambiguous sentenceThanks! Regards, [redacted]
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below I did receive a call from Dentaquest confirming the details of the complaint and that they intend to process it No resolution has been arrived at therefore this complaint is still open Regards, [redacted]
Dear Sir/Madam: Issue: DentaQuest received a facsimile remittance sent to number ###-###-#### on September 30, regarding a complaint that was mailed by [redacted] to the Texas Department of Insurance on July The documentation included a letter from Texas Department of Insurance asking that a written response be provided no later than fifteen (15) days from the date letter is received Included in the remittance was a letter written by [redacted] addressed to Texas Department of Insurance, a copy of the Complaint Form for member Tracey [redacted] , ID number [redacted] referencing claim number [redacted] In the letter addressed to Texas Department of Insurance Ms [redacted] stated she was seeking to file a complaint through DentaQuest on behalf of her daughter’s previous dentist Ms [redacted] stated she were told over four times how things were going to proceed by DentaQuest; however each time she called, she was given different information on how to proceed with her claim Ms [redacted] states she was told she would be contacted and she was not Ms [redacted] stated when she called back she was informed the previous person she spoke with gave her wrong information Ms [redacted] stated this happened on numerous occasions and most importantly she was told she would be contacted so she could provide additional information about her complaint Ms [redacted] stated that instead she was contacted advising the case had been investigated and closed without given the opportunity to submit all of her information Ms [redacted] states she was told this after calling and spending numerous hours on the phone trying to seek help from someone at DentaQuest and getting nowhereMs [redacted] stated if proper protocol had been followed, obtaining full information and facts in order to do a thorough investigation would have been sufficient before closing the case Findings: DentaQuest reviewed [redacted] ’s member history and found a complaint filed by Mr [redacted] on May 17th by calling DentaQuest Member ServicesMr [redacted] ’s complaint was regarding [redacted] ’s visit to Dr [redacted] on March In the complaints Mr [redacted] stated Dr [redacted] advised the parents not to have a cavity fixed, and that he was just going to watch itMr [redacted] stated this was the provider's advice for a long period of timeThen one day Dr [redacted] took an x-ray and said [redacted] needed a filling, but said she was too big and the office didn’t have the adult toolsMr [redacted] stated Dr [redacted] refused to do dental work on the cavity; but he did an adult cleaning so he was confused about the dental office not having the adult toolsThe cavity became a major, deep cavity and ***'s new provider stated they may not be able to save the toothMr [redacted] stated he witnessed the provider seeing six patients at once, and that he had them all in a rowMr [redacted] stated he believed Dr [redacted] wouldn’t do anything that required workMr [redacted] stated he felt time was wasted and his daughter should have gotten a sealant or something to prevent this from happening and believes the dentist did have the tools On June 14th, DentaQuest spoke to [redacted] at the front desk at the office of Dr [redacted] and [redacted] stated that the office had the tools to repair cavities on permanent primary teeth only DentaQuest requested x-rays and treatment notes for dental consultant review The request for documents was forwarded to Brandy, the surgical coordinator at the office Brandy called DentaQuest back to explain that there was a large gap in treatment time for *** DentaQuest requested the notes dating back from the time the cavity was first documented at the provider’s office On the same day, June 14th, 2016, DentaQuest spoke with Ms [redacted] at 2:pm Ms [redacted] stated that all of the providers in the office had not properly treated *** Ms [redacted] stated that Dr [redacted] was the primary care physician and saw patients from the beginning and he had dismissed [redacted] because the office didn’t have the proper tools to work on her teeth Ms [redacted] sated that Dr [redacted] prescribed fluoride toothpaste rather than repairing the tooth Ms [redacted] stated the dentist didn’t have time to do the work on the tooth Ms [redacted] stated that one molar was the biggest concern because the provider took a bad x-ray and ***’s new provider stated the member needed a new x-ray During the conversation, Ms [redacted] did not state she had additional documentation to provide to DentaQuest An acknowledgement letter mailed on June 9th, contained the mailing address where any documents or records pertaining to the complaint could be mailed Ms [redacted] would have had an opportunity to provide any documents mail or alternative format (email, fax) should she have requested during the phone conversation with DentaQuest on June 14th If Ms [redacted] ’s primary method of sending documents was via mail, an extension would have been requested to complete the investigation to allow Ms [redacted] time All documents were received from Dr [redacted] ’ office and were sent to a DentaQuest dental consultant for review The resolution was as follows: “A DentaQuest Dental Consultant received and reviewed your complaintParents’ statements and Provider’s documents (x-rays, treatment notes, progress notes) were reviewed Incipient lesions were placed on a watch protocol in March of Again at the October recall exam, lesions were placed on a watch The member did not return to the office on a regular 6-month visit after October 10, to allow the provider to monitor these watches The member returned for a recall visit year later on 03/03/resulting in findings of active decay requiring treatment Placing incipient decay on a watch adheres to standard practice protocols for small lesions or lesions localized to the outer layer of the tooth structure At every visit, the office reinforced dietary and oral hygiene as part of this standard practice There is no evidence of clinical quality of care issues as year is sufficient time for decay to progressPediatric offices have the option to refer treatment to general dentists to treat adult teethTools for adult cleanings are not related to tools for restorative dentistry.” DentaQuest called Ms [redacted] at on October 7, at 10:am A recap of the complaint was discussed with Ms [redacted] and she was asked if she had new documents she would like DentaQuest to consider regarding the complaint that was filed on May 17th, that had not already been reviewed Ms [redacted] stated she did not have any new information and this complaint could be dismissed Ms [redacted] stated she is now happy with the dentist [redacted] is currently seeing and there was no need to pursue her complaint further Ms [redacted] was informed she can reach out to DentaQuest Member Services for any assistance regarding ***’s dental plan [redacted] *** Please feel free to contact me with any further questions you may have Sincerely, [redacted] Complaints Grievances and Appeals Specialist ###-###-#### [redacted]
[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint # [redacted] I understand that by choosing to accept the business response that my complaint will be closed as resolved Regards, [redacted] Birthday is May 15, My member ID # is [redacted] The screenshot submitted has my member number listed
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] I did NOT receive a check as stated, for the settlement of useless services from DentaQuest in but received a [redacted] with a credit for CONTINUED services through 2017, which was NOT authorized by me, through the affordable care act.Please find the attached [redacted] I received TODAY 2/16/17Regards, [redacted] ***
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] I have not received any contact from DentaQuest representatives, it seems from their late response to Revdex.com, they have major issues with their management, very tellingI will await further noticethank YOU Revdex.com Regards, [redacted] ***
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below The response is vague and lacks any specifics on what action the business will take Regards, [redacted]
Hi, We did not receive this original complaint The second notification of this complaint was received by us on Sunday, February 12th I am out of the office and have an out of office rule, and will be returning to the office on Wednesday, February 15th In my absence I have had [redacted] work on this issue and he is attempting to respond to the complaint Also, I received a call from [redacted] last Wednesday and supplied all of my contact information [redacted] reached out to her today and has made her aware of the current circumstances surrounding this issue and is attempting to resolve this matter We can and will refund the money to the complainant, but first are trying to contact this member to make the situation right, but giving a credit and attempting to retain his business I respectfully ask that since the first time we were aware and contacted on this complaint was the end of last week, that this not be closed as no response The Admin of the Office of the CEO put [redacted] in contact with me as the last contact on record was [redacted] , who was our prior CEO years ago I believe that this was sent to her in error and that is why it was not received Now [redacted] at Revdex.com has updated all records and contacts to have me listed as the point of contact for these matters Thank you, [redacted] ***
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please reword ambiguous sentenceThanks! Regards, [redacted]
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below I did receive a call from Dentaquest confirming the details of the complaint and that they intend to process it No resolution has been arrived at therefore this complaint is still open Regards, [redacted]
Dear Sir/Madam: Issue: DentaQuest received a facsimile remittance sent to number ###-###-#### on September 30, regarding a complaint that was mailed by [redacted] to the Texas Department of Insurance on July The documentation included a letter from Texas Department of Insurance asking that a written response be provided no later than fifteen (15) days from the date letter is received Included in the remittance was a letter written by [redacted] addressed to Texas Department of Insurance, a copy of the Complaint Form for member Tracey [redacted] , ID number [redacted] referencing claim number [redacted] In the letter addressed to Texas Department of Insurance Ms [redacted] stated she was seeking to file a complaint through DentaQuest on behalf of her daughter’s previous dentist Ms [redacted] stated she were told over four times how things were going to proceed by DentaQuest; however each time she called, she was given different information on how to proceed with her claim Ms [redacted] states she was told she would be contacted and she was not Ms [redacted] stated when she called back she was informed the previous person she spoke with gave her wrong information Ms [redacted] stated this happened on numerous occasions and most importantly she was told she would be contacted so she could provide additional information about her complaint Ms [redacted] stated that instead she was contacted advising the case had been investigated and closed without given the opportunity to submit all of her information Ms [redacted] states she was told this after calling and spending numerous hours on the phone trying to seek help from someone at DentaQuest and getting nowhereMs [redacted] stated if proper protocol had been followed, obtaining full information and facts in order to do a thorough investigation would have been sufficient before closing the case Findings: DentaQuest reviewed [redacted] ’s member history and found a complaint filed by Mr [redacted] on May 17th by calling DentaQuest Member ServicesMr [redacted] ’s complaint was regarding [redacted] ’s visit to Dr [redacted] on March In the complaints Mr [redacted] stated Dr [redacted] advised the parents not to have a cavity fixed, and that he was just going to watch itMr [redacted] stated this was the provider's advice for a long period of timeThen one day Dr [redacted] took an x-ray and said [redacted] needed a filling, but said she was too big and the office didn’t have the adult toolsMr [redacted] stated Dr [redacted] refused to do dental work on the cavity; but he did an adult cleaning so he was confused about the dental office not having the adult toolsThe cavity became a major, deep cavity and ***'s new provider stated they may not be able to save the toothMr [redacted] stated he witnessed the provider seeing six patients at once, and that he had them all in a rowMr [redacted] stated he believed Dr [redacted] wouldn’t do anything that required workMr [redacted] stated he felt time was wasted and his daughter should have gotten a sealant or something to prevent this from happening and believes the dentist did have the tools On June 14th, DentaQuest spoke to [redacted] at the front desk at the office of Dr [redacted] and [redacted] stated that the office had the tools to repair cavities on permanent primary teeth only DentaQuest requested x-rays and treatment notes for dental consultant review The request for documents was forwarded to Brandy, the surgical coordinator at the office Brandy called DentaQuest back to explain that there was a large gap in treatment time for *** DentaQuest requested the notes dating back from the time the cavity was first documented at the provider’s office On the same day, June 14th, 2016, DentaQuest spoke with Ms [redacted] at 2:pm Ms [redacted] stated that all of the providers in the office had not properly treated *** Ms [redacted] stated that Dr [redacted] was the primary care physician and saw patients from the beginning and he had dismissed [redacted] because the office didn’t have the proper tools to work on her teeth Ms [redacted] sated that Dr [redacted] prescribed fluoride toothpaste rather than repairing the tooth Ms [redacted] stated the dentist didn’t have time to do the work on the tooth Ms [redacted] stated that one molar was the biggest concern because the provider took a bad x-ray and ***’s new provider stated the member needed a new x-ray During the conversation, Ms [redacted] did not state she had additional documentation to provide to DentaQuest An acknowledgement letter mailed on June 9th, contained the mailing address where any documents or records pertaining to the complaint could be mailed Ms [redacted] would have had an opportunity to provide any documents mail or alternative format (email, fax) should she have requested during the phone conversation with DentaQuest on June 14th If Ms [redacted] ’s primary method of sending documents was via mail, an extension would have been requested to complete the investigation to allow Ms [redacted] time All documents were received from Dr [redacted] ’ office and were sent to a DentaQuest dental consultant for review The resolution was as follows: “A DentaQuest Dental Consultant received and reviewed your complaintParents’ statements and Provider’s documents (x-rays, treatment notes, progress notes) were reviewed Incipient lesions were placed on a watch protocol in March of Again at the October recall exam, lesions were placed on a watch The member did not return to the office on a regular 6-month visit after October 10, to allow the provider to monitor these watches The member returned for a recall visit year later on 03/03/resulting in findings of active decay requiring treatment Placing incipient decay on a watch adheres to standard practice protocols for small lesions or lesions localized to the outer layer of the tooth structure At every visit, the office reinforced dietary and oral hygiene as part of this standard practice There is no evidence of clinical quality of care issues as year is sufficient time for decay to progressPediatric offices have the option to refer treatment to general dentists to treat adult teethTools for adult cleanings are not related to tools for restorative dentistry.” DentaQuest called Ms [redacted] at on October 7, at 10:am A recap of the complaint was discussed with Ms [redacted] and she was asked if she had new documents she would like DentaQuest to consider regarding the complaint that was filed on May 17th, that had not already been reviewed Ms [redacted] stated she did not have any new information and this complaint could be dismissed Ms [redacted] stated she is now happy with the dentist [redacted] is currently seeing and there was no need to pursue her complaint further Ms [redacted] was informed she can reach out to DentaQuest Member Services for any assistance regarding ***’s dental plan [redacted] *** Please feel free to contact me with any further questions you may have Sincerely, [redacted] Complaints Grievances and Appeals Specialist ###-###-#### [redacted]
[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint # [redacted] I understand that by choosing to accept the business response that my complaint will be closed as resolved Regards, [redacted] Birthday is May 15, My member ID # is [redacted] The screenshot submitted has my member number listed
Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] I did NOT receive a check as stated, for the settlement of useless services from DentaQuest in but received a [redacted] with a credit for CONTINUED services through 2017, which was NOT authorized by me, through the affordable care act.Please find the attached [redacted] I received TODAY 2/16/17Regards, [redacted] ***