Initial Business Response / [redacted] (1000, 5, 2015/11/16) */ I am writing a letter in response to [redacted] ***'s complaint [redacted] doesn't believe he owes the remaining balance on his dental workHe and I received (EOB's) Explanation of Benefits from his Dental Insurance Company in I can send of copy if requestedIt explains that his Dental Insurance would not pay the claim because he had the work originally completed within years agoI had to redo it in January of because decay was present [redacted] should have told us that the original work was done several years agoWe would have included the additional amount in his financial arrangements He stated that the money was determined up front and I agree with thatHowever it was an agreed amount that included his insurance paying their half of the claimThey did notThat is why we sent a statement to Mr [redacted] for [redacted] He understood that when he signed the treatment planIt is written on the treatment, which Mr [redacted] signed, that this is only an estimateWe can send a copy if required My office manager sent [redacted] a statement and even talked with him on the phone, but he refused to payMy office did nothing wrong [redacted] ***'s insurance didn't pay for his treatment and he thinks that is our faultThe law states he is responsible for paying for the treatment We would have sent a statement to [redacted] earlier in the year, but his dental insurance took several months to process the claimWe have no problem with working out financial arrangements with [redacted] for the $balancePlease remove any complaints about our office on your website? [redacted] DDS
Initial Business Response / [redacted] (1000, 8, 2015/11/13) */ I am writing a response to Mr [redacted] Mr [redacted] believes he should not have to pay for a procedure his dental insurance did not reimburse me forHe believes he did not have the conditions to warrant a Comprehensive Periodontal EvaluationHow does he know that? Why would you even come to me as a patient if he had already diagnosed himself? Let's say hypothetically, Mr [redacted] came to my office and he did have undiagnosed periodontal disease, but I didn't perform the evaluation because he didn't think it was necessary and his dental insurance didn't want to pay for itIf Mr [redacted] was to lose teeth in the future due to untreated periodontal disease would he hold me responsible or his dental insurance company? My job is to what's best for the patientDidn't Mr [redacted] expect that from me or does he feel his dental insurance will do what's best for him? In the end if anything goes wrong with a patient I am held responsibleI am always going to do what's best for the patient whether or not the insurance company agreesIt's Mr [redacted] 's dental insurance policy, he chose itThe policy he chose did not cover this procedureI filed his insurance as a courtesy to himI am not legally obligated to do thatI will not bill Mr [redacted] for the $I will send him a statement for the $co-payWill Mr [redacted] consider removing the bad review I believe he gave me on Yelp.com Sincerely, [redacted] DDS Initial Consumer Rebuttal / [redacted] (2000, 10, 2015/11/19) */ (The consumer indicated he/she ACCEPTED the response from the business.) When a provider falls under the preferred provider umbrella of Blue Cross and Blue Shield, there are rates to which the doctor and the insurance company have previously agreed uponHaving queried my insurance provider before seeking service, I know that DrIsaacson was a preferred providerThis dentist office has accepted my insurance Bottom line - in the realm of elective procedures, if you are going to bill for a procedure that isn't covered by insurance, regardless of whether you believe it to be necessary, you need to convey that information to the patient A point worth mentioning - this office has billed my insurance incorrectly on three separate occasionsThe first two incorrect billings were subsequently dropped when the dentist's billing department acknowledged there was a mistake and dropped the chargesWatching this office dig their heals in on billing practices that were previously acknowledged as mistakes during my departure as a patient is painful As I stated upon receiving my initial inaccurate invoice, I will pay for the services agreed uponAs this office is a preferred provider, the amount for twice yearly cleanings has already been negotiated by the provider and insurance company and is $ As DrIsaacson has recently stated he will bill me $25, I tentatively accept his Revdex.com response to my complaint -***
Initial Business Response / [redacted] (1000, 5, 2015/11/16) */ I am writing a letter in response to [redacted] ***'s complaint [redacted] doesn't believe he owes the remaining balance on his dental workHe and I received (EOB's) Explanation of Benefits from his Dental Insurance Company in I can send of copy if requestedIt explains that his Dental Insurance would not pay the claim because he had the work originally completed within years agoI had to redo it in January of because decay was present [redacted] should have told us that the original work was done several years agoWe would have included the additional amount in his financial arrangements He stated that the money was determined up front and I agree with thatHowever it was an agreed amount that included his insurance paying their half of the claimThey did notThat is why we sent a statement to Mr [redacted] for [redacted] He understood that when he signed the treatment planIt is written on the treatment, which Mr [redacted] signed, that this is only an estimateWe can send a copy if required My office manager sent [redacted] a statement and even talked with him on the phone, but he refused to payMy office did nothing wrong [redacted] ***'s insurance didn't pay for his treatment and he thinks that is our faultThe law states he is responsible for paying for the treatment We would have sent a statement to [redacted] earlier in the year, but his dental insurance took several months to process the claimWe have no problem with working out financial arrangements with [redacted] for the $balancePlease remove any complaints about our office on your website? [redacted] DDS
Initial Business Response / [redacted] (1000, 8, 2015/11/13) */ I am writing a response to Mr [redacted] Mr [redacted] believes he should not have to pay for a procedure his dental insurance did not reimburse me forHe believes he did not have the conditions to warrant a Comprehensive Periodontal EvaluationHow does he know that? Why would you even come to me as a patient if he had already diagnosed himself? Let's say hypothetically, Mr [redacted] came to my office and he did have undiagnosed periodontal disease, but I didn't perform the evaluation because he didn't think it was necessary and his dental insurance didn't want to pay for itIf Mr [redacted] was to lose teeth in the future due to untreated periodontal disease would he hold me responsible or his dental insurance company? My job is to what's best for the patientDidn't Mr [redacted] expect that from me or does he feel his dental insurance will do what's best for him? In the end if anything goes wrong with a patient I am held responsibleI am always going to do what's best for the patient whether or not the insurance company agreesIt's Mr [redacted] 's dental insurance policy, he chose itThe policy he chose did not cover this procedureI filed his insurance as a courtesy to himI am not legally obligated to do thatI will not bill Mr [redacted] for the $I will send him a statement for the $co-payWill Mr [redacted] consider removing the bad review I believe he gave me on Yelp.com Sincerely, [redacted] DDS Initial Consumer Rebuttal / [redacted] (2000, 10, 2015/11/19) */ (The consumer indicated he/she ACCEPTED the response from the business.) When a provider falls under the preferred provider umbrella of Blue Cross and Blue Shield, there are rates to which the doctor and the insurance company have previously agreed uponHaving queried my insurance provider before seeking service, I know that DrIsaacson was a preferred providerThis dentist office has accepted my insurance Bottom line - in the realm of elective procedures, if you are going to bill for a procedure that isn't covered by insurance, regardless of whether you believe it to be necessary, you need to convey that information to the patient A point worth mentioning - this office has billed my insurance incorrectly on three separate occasionsThe first two incorrect billings were subsequently dropped when the dentist's billing department acknowledged there was a mistake and dropped the chargesWatching this office dig their heals in on billing practices that were previously acknowledged as mistakes during my departure as a patient is painful As I stated upon receiving my initial inaccurate invoice, I will pay for the services agreed uponAs this office is a preferred provider, the amount for twice yearly cleanings has already been negotiated by the provider and insurance company and is $ As DrIsaacson has recently stated he will bill me $25, I tentatively accept his Revdex.com response to my complaint -***