Fort Collins Dental Group

Complaint: [redacted] I am rejecting this response because:I requested a full disclosure of my previous accounting for the past four years; specifically what you billed me and what my insurance paid you, and what you had refunded me as your office personnel told me you "always over-bill" with the intent to reimburse This remains an issue and one I would like to see resolved I would like copies of these statements as I am concerned I have not been reimbursed for years The $refund for this current issue was not a disputed amount, and seemed to be pulled randomly Regardless, I had already addressed this issue in the last communication Regards, [redacted]

This letter is in response to your correspondence received July 15, regarding [redacted] [redacted] Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatmentAs a principal part of our commitment to customer service we make every effort to provide accurate information for each patient regarding their financial responsibility for services rendered It Appears Ms [redacted] provided information on secondary insurance coverage once treatment had begunAdditionally, it appears the treatment Plan changed as treatment progressed, which is not uncommonThese factors did contribute to a change in financial responsibility for Ms [redacted] Please be assured we are diligently working with both of Ms [redacted] ’s insurance carriers to insure she is correctly billed for the treatment she has receivedWe are not refusing to speak with Ms [redacted] ’s mother regarding this issueWe will be happy to discuss this issue with her once we have confirmed with Ms [redacted] ’s insurance carriers exactly what she is responsible for Respectfully, Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICS July 22, 2015VIA ELECTRONIC EMAIL: Revdex.comAttn: [redacted] : Dispute Resolution and AD Review Counselor South County Road 5, Suite Fort Collins, CO PATIENT: [redacted] CASE NUMBER: [redacted] Dear Mr [redacted] ,This letter is in response to your correspondence dated June 30, regarding [redacted] Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatment As a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patientWe have reviewed Ms [redacted] ’s chart and financial ledger relative to the treatment in questionIt appears her insurance has paid more than expected at the time services were rendered As such, a refund of $was initiated for Ms [redacted] on June 22, We performed a complete audit on Ms [redacted] ’s account During our audit of Ms [redacted] ’s financial ledger it was determined that an inadvertent error was made in determining Ms [redacted] s’ financial responsibility for services rendered Please be assured, we have taken the appropriate steps to insure a refund will be sent to Ms [redacted] In closing, please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered We sincerely apologize for any inconvenience this issue may have caused Ms [redacted] Respectfully,Fort Collins Dental Group

Complaint: [redacted] I am rejecting this response because:This has been my writing request for those records! As I have been stating I would like to have an itemized statement of services rendered, what I have paid, and what you have paid me back for and by what method Your response is condescending, I know how insurance works and if I need further information I WILL contact my insurance company What I want is MY records from you I do not believe that you have charged me fairly as proof of that in the last service appointment You continue to stall in my request for the financial information Regards, [redacted]

FORT COLLINS DENTAL GROUP AND ORTHODONTICSAugust 13, 2015VIA: ELECTRONIC EMAIL: Revdex.comAttn: [redacted] : Dispute Resolution and AD Review CounselorSouth County Road 5, Suite 100Fort Collins, CO PATIENT: [redacted] CASE NUMBER: [redacted] Dear Mr [redacted] , This letter is in response to your correspondence dated August 12, regarding [redacted] Fort Collins Dental Group will accept Ms [redacted] ’s recent response as her written request formedical records, and likewise an account ledger with all financialsThese records will be mailedto Ms [redacted] within business daysIn closing, as previously indicated, please be assured Fort Collins Dental Group makes everyattempt to quote the correct patient financial responsibility for each service rendered Wesincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms[redacted] Respectfully,Fort Collins Dental Group

This letter is in response to your correspondence received July 15, regarding [redacted] *** Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatmentAs a principal part of our commitment to customer service we make every effort to provide accurate information for each patient regarding their financial responsibility for services rendered It Appears Ms [redacted] was inadvertently given incorrect benefit information regarding the Prodentec tooth pastePlease be assured, this was not intentionalAs soon as we realized what had happened we removed the $charge from the account In summary, we truly regret any misunderstanding that has occurredWe have removed the $charge from the accountIn addition, as a gesture of customer service Ms [redacted] will not be charged for the Prodentec tooth paste Respectfully, Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICS August 5, 2015 VIA ELECTRONIC EMAIL:RevDex.com Attn: [redacted] : Dispute Resolution and AD Review Counselor8020 South County Road 5, Suite 100 Fort Collins, CO 80528 PATIENT: [redacted] CASE NUMBER: [redacted] Dear Mr. [redacted] ,This letter is in response to your correspondence dated July 29, 2015 regarding [redacted] . Customer service is important to Fort Collins Dental Group, as a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patient as we have done with Ms. [redacted] . However, especially with PPO insurance, a patient’s out of pocket expense is only an approximation and therefore may require unintentional financial adjustments at a later date. Please note that this is not intentional practice, rather the norm when billing and coordinating PPO plan benefits. Specific to Ms. [redacted] ’s request for complete financial disclosures from Fort Collins Dental Group, we would be happy to provide Ms. [redacted] with a complete copy of her chart records upon her written request. The complete chart will include medical records, and likewise an account ledger with all financials. However, what we believe Ms. [redacted] is seeking are copies of her Plans explanation of benefits/payments. If this is the case, Ms. [redacted] will need to make this request directly by contacting her insurance carrier. In closing, as previously indicated please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered. We sincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms. [redacted] . Respectfully,Fort Collins Dental Group 2310 E. Harmony Road, Suite 103 Fort Collins, CO 80528

FORT COLLINS DENTAL GROUP AND ORTHODONTICSAugust 13, 2015VIA: ELECTRONIC EMAIL:Revdex.comAttn: [redacted] : Dispute Resolution and AD Review CounselorSouth County Road 5, Suite 100Fort Collins, CO 80528PATIENT: [redacted] CASE NUMBER: [redacted] Dear Mr [redacted] ,This letter is in response to your correspondence dated August 12, regarding [redacted] .Fort Collins Dental Group will accept Ms [redacted] ’s recent response as her written request formedical records, and likewise an account ledger with all financialsThese records will be mailedto Ms [redacted] within business days.In closing, as previously indicated, please be assured Fort Collins Dental Group makes everyattempt to quote the correct patient financial responsibility for each service rendered Wesincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms[redacted] .Respectfully,Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICS July 22, VIA ELECTRONIC EMAIL: Revdex.com Attn: [redacted] : Dispute Resolution and AD Review Counselor South County Road 5, Suite Fort Collins, CO PATIENT: [redacted] CASE NUMBER: [redacted] Dear Mr [redacted] , This letter is in response to your correspondence dated June 30, regarding [redacted] Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatment As a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patientWe have reviewed Ms [redacted] ’s chart and financial ledger relative to the treatment in questionIt appears her insurance has paid more than expected at the time services were rendered As such, a refund of $was initiated for Ms [redacted] on June 22, We performed a complete audit on Ms [redacted] ’s account During our audit of Ms [redacted] ’s financial ledger it was determined that an inadvertent error was made in determining Ms [redacted] s’ financial responsibility for services rendered Please be assured, we have taken the appropriate steps to insure a refund will be sent to Ms [redacted] In closing, please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered We sincerely apologize for any inconvenience this issue may have caused Ms [redacted] Respectfully, Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICS August 5, 2015
VIA ELECTRONIC EMAIL:
Revdex.com
Attn: *** ***: Dispute Resolution and AD Review Counselor
South County Road 5, Suite
Fort Collins, CO 80528
PATIENT: *** *** CASE NUMBER: ***
Dear Mr***,
This letter is in response to your correspondence dated July 29, regarding *** ***. Customer service is important to Fort Collins Dental Group, as a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patient as we have done with Ms***. However, especially with PPO insurance, a patient’s out of pocket expense is only an approximation and therefore may require unintentional financial adjustments at a later datePlease note that this is not intentional practice, rather the norm when billing and coordinating PPO plan benefits. Specific to Ms***’s request for complete financial disclosures from Fort Collins Dental Group, we would be happy to provide Ms*** with a complete copy of her chart records upon her written request The complete chart will include medical records, and likewise an account ledger with all financials However, what we believe Ms*** is seeking are copies of her Plans explanation of benefits/payments If this is the case, Ms*** will need to make this request directly by contacting her insurance carrier.
In closing, as previously indicated please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered We sincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms. ***. Respectfully,
Fort Collins Dental Group EHarmony Road, Suite 103 Fort Collins, CO

Complaint: ***
I am rejecting this response because:
This has been my writing request for those records! As I have been stating I would like to have an itemized statement of services rendered, what I have paid, and what you have paid me back for and by what method Your response is condescending, I know how insurance works and if I need further information I WILL contact my insurance company What I want is MY records from you I do not believe that you have charged me fairly as proof of that in the last service appointment You continue to stall in my request for the financial information
Regards,
*** ***

FORT COLLINS DENTAL GROUP AND ORTHODONTICS August 5, 2015 VIA ELECTRONIC EMAIL:Revdex.com Attn: [redacted]: Dispute Resolution and AD Review Counselor8020 South County Road 5, Suite 100 Fort Collins, CO 80528 PATIENT:   [redacted] CASE NUMBER: [redacted]Dear Mr. [redacted],This letter is in response to your correspondence dated July 29, 2015 regarding [redacted]. Customer service is important to Fort Collins Dental Group, as a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patient as we have done with Ms. [redacted]. However, especially with PPO insurance, a patient’s out of pocket expense is only an approximation and therefore may require unintentional financial adjustments at a later date. Please note that this is not intentional practice, rather the norm when billing and coordinating PPO plan benefits. Specific to Ms. [redacted]’s request for complete financial disclosures from Fort Collins Dental Group, we would be happy to provide Ms. [redacted] with a complete copy of her chart records upon her written request.  The complete chart will include medical records, and likewise an account ledger with all financials.  However, what we believe Ms. [redacted] is seeking are copies of her Plans explanation of benefits/payments.  If this is the case, Ms. [redacted] will need to make this request directly by contacting her insurance carrier. In closing, as previously indicated please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered.  We sincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms. [redacted]. Respectfully,Fort Collins Dental Group 2310 E. Harmony Road, Suite 103  Fort Collins, CO 80528

FORT COLLINS DENTAL GROUP AND ORTHODONTICSAugust 13, 2015VIA:   ELECTRONIC EMAIL:Revdex.comAttn: [redacted]: Dispute Resolution and AD Review Counselor8020 South County Road 5, Suite 100Fort Collins, CO 80528PATIENT:   [redacted]                                                                          CASE NUMBER: [redacted]Dear Mr. [redacted],This letter is in response to your correspondence dated August 12, 2015 regarding [redacted].Fort Collins Dental Group will accept Ms. [redacted]’s recent response as her written request formedical records, and likewise an account ledger with all financials. These records will be mailedto Ms. [redacted] within 5 business days.In closing, as previously indicated, please be assured Fort Collins Dental Group makes everyattempt to quote the correct patient financial responsibility for each service rendered.  Wesincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms.[redacted].Respectfully,Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICS July 22, 2015VIA ELECTRONIC EMAIL: Revdex.comAttn: [redacted]: Dispute Resolution and AD Review Counselor 8020 South County Road 5, Suite 100 Fort Collins, CO 80528 PATIENT:   [redacted]    ...

 CASE NUMBER: [redacted]Dear Mr. [redacted],This letter is in response to your correspondence dated June 30, 2015 regarding [redacted]. Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatment.  As a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patient. We have reviewed Ms. [redacted]’s chart and financial ledger relative to the treatment in question. It appears her insurance has paid more than expected at the time services were rendered.  As such, a refund of $50.00 was initiated for Ms. [redacted] on June 22, 2015. We performed a complete audit on Ms. [redacted]’s account.  During our audit of Ms. [redacted]’s financial ledger it was determined that an inadvertent error was made in determining Ms. [redacted]s’ financial responsibility for services rendered.  Please be assured, we have taken the appropriate steps to insure a refund will be sent to Ms. [redacted]. In closing, please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered.  We sincerely apologize for any inconvenience this issue may have caused Ms. [redacted]. Respectfully,Fort Collins Dental Group

Complaint: [redacted]
I am rejecting this response because:This has been my writing request for those records!  As I have been stating I would like to have an itemized statement of services rendered, what I have paid, and what you have paid me back for and by what method.  Your response is condescending, I know how insurance works and if I need further information I WILL contact my insurance company.  What I want is MY records from you.  I do not believe that you have charged me fairly as proof of that in the last service appointment.  You continue to stall in my request for the financial information.  
Regards,
[redacted]

This letter is in response to your correspondence received July 15, 2014 regarding [redacted].
Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatment. As a principal part of our commitment to...

customer service we make every effort to provide accurate information for each patient regarding their financial responsibility for services rendered. 
It Appears Ms. [redacted] was inadvertently given incorrect benefit information regarding the Prodentec tooth paste. Please be assured, this was not intentional. As soon as we realized what had happened we removed the $35.00 charge from the account. 
In summary, we truly regret any misunderstanding that has occurred. We have removed the $35.00 charge from the account. In addition, as a gesture of customer service Ms. [redacted] will not be charged for the Prodentec tooth paste. 
Respectfully, 
Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICS July 22, 2015
VIA ELECTRONIC EMAIL: 
Revdex.com
Attn: [redacted]: Dispute Resolution and AD Review Counselor
8020 South County Road 5, Suite 100 
Fort Collins, CO...

80528 PATIENT:   [redacted]      CASE NUMBER: [redacted]Dear Mr. [redacted],
This letter is in response to your correspondence dated June 30, 2015 regarding [redacted]. Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatment.  As a principal part of our commitment to customer service we make every effort to accurately estimate co-insurance for each patient. We have reviewed Ms. [redacted]’s chart and financial ledger relative to the treatment in question. It appears her insurance has paid more than expected at the time services were rendered.  As such, a refund of $50.00 was initiated for Ms. [redacted] on June 22, 2015. 
We performed a complete audit on Ms. [redacted]’s account.  During our audit of Ms. [redacted]’s financial ledger it was determined that an inadvertent error was made in determining Ms. [redacted]s’ financial responsibility for services rendered.  Please be assured, we have taken the appropriate steps to insure a refund will be sent to Ms. [redacted]. In closing, please be assured, Fort Collins Dental Group makes every attempt to quote the correct patient financial responsibility for each service rendered.  We sincerely apologize for any inconvenience this issue may have caused Ms. [redacted]. Respectfully,
Fort Collins Dental Group

FORT COLLINS DENTAL GROUP AND ORTHODONTICSAugust 13, 2015VIA:   ELECTRONIC EMAIL:
Revdex.comAttn: [redacted]: Dispute Resolution and AD Review Counselor8020 South County Road 5, Suite 100Fort Collins, CO 80528
PATIENT:   [redacted]                                                                          CASE NUMBER: [redacted]
Dear Mr. [redacted],
This letter is in response to your correspondence dated August 12, 2015 regarding [redacted].
Fort Collins Dental Group will accept Ms. [redacted]’s recent response as her written request formedical records, and likewise an account ledger with all financials. These records will be mailedto Ms. [redacted] within 5 business days.
In closing, as previously indicated, please be assured Fort Collins Dental Group makes everyattempt to quote the correct patient financial responsibility for each service rendered.  Wesincerely apologize for any misunderstanding or inconvenience this issue may have caused Ms.[redacted].
Respectfully,Fort Collins Dental Group

Complaint: [redacted]
I am rejecting this response because:I requested a full disclosure of my previous accounting for the past four years; specifically what you billed me and what my insurance paid you, and what you had refunded me as your office personnel told me you "always over-bill" with the intent to reimburse.  This remains an issue and one I would like to see resolved.  I would like copies of these statements as I am concerned I have not been reimbursed for years.  The $50 refund for this current issue was not a disputed amount, and seemed to be pulled randomly.  Regardless, I had already addressed this issue in the last communication.  
Regards,
[redacted]

This letter is in response to your correspondence received July 15, 2014 regarding [redacted]. 
Customer service is important to Fort Collins Dental Group and we strive to ensure our patients are happy with all aspects of treatment. As a principal part of our...

commitment to customer service we make every effort to provide accurate information for each patient regarding their financial responsibility for services rendered. 
It Appears Ms. [redacted] provided information on secondary insurance coverage once treatment had begun. Additionally, it appears the treatment Plan changed as treatment progressed, which is not uncommon. These factors did contribute to a change in financial responsibility for Ms. [redacted]. 
Please be assured we are diligently working with both of Ms. [redacted]’s insurance carriers to insure she is correctly billed for the treatment she has received. We are not refusing to speak with Ms. [redacted]’s mother regarding this issue. We will be happy to discuss this issue with her once we have confirmed with Ms. [redacted]’s insurance carriers exactly what she is responsible for. 
Respectfully, 
Fort Collins Dental Group