Four Star Home Service

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 I do not not accept Emmert Dental's responseFirst, no insurance claim has been paid becasue no insurance claim has ever been submitted I've attached a screenshot of [redacted] 's United Concordia account and as of May 15, 2017, nothing by Emmert has been claimed I've attached a copy of our insurance card to see if Emmert has the correct information Second, We've still yet to receive a bill of our remaining balance by Emmert But I'm willing to guess the remaining balance is $as shown in the attachment of [redacted] 's patient record that was given to us on May 2, As you can see the two underlined procedures that were added to the 05/2/Patient History Report for work claiming that it was done on 4/13/but is no where to be seen on our BILL from 4/13/ The insurance codes written on the Patient History Report were added by Emmert's receptionist on 5/2/when I specifically asked for them on that day Again as I stated in my original complaint the code for Fluoride that she was using was D(her own writing) has been expired since January If she would have used the correct code D1206-that I wrote in and underlined, it would have shown it was covered by insurance.I would like to also add that Emmert's response included documents with signatures and dates claiming to be signed by my wife on 4/13/and 5/2/ As I was reviewing with my wife, we believe some if not all have been doctored by Emmert Dental My wife is claiming that she not once signed any dates when she signed documents on 4/13/and these dates and were added by Emmert! I also know for a fact that nothing was signed on 5/2/becasue we were already disturbed by Emmert's billing on 4/13/and my wife was not going to sign anything on her next visit I also witnessed her not sign anything on May 2, Regards, [redacted]

I have received the complaint reference # [redacted] I have contacted the patient directlyShe did overpayfor dental servicesWe issued a refund check toheron 5-4-and again on 6-20-According to our bank records neither check has been cashed.I have re-issued the check again today and have instructed her to call my personal cell if she does notreceive it by this Friday, [redacted] ***Emmert Dental Associates

Emmert Dental AssociatesOxford Drive Bethel Park, PA ###-###-#### 8-31-Dear [redacted] I have received a copy of your complaint dated 8-10-with the ID of [redacted] I read [redacted] ’s complaint and I do agree with her issues.I had talked to her last week and resolved her complaint She does have a zero balance in our office.I felt that everything was resolved and that she was satisfied, if that is not the case, please let me know if there is anything else t can do for herEmmert Dental Associates

I am writing to you concerning complaint # [redacted] - [redacted] I have read hercomplaint and have spoken to my staffMy staff agreed that there was some confusion as to the type of plan that she hadThey didtry to verify before hand, but they were unsuccessful in doing soThe patient has a state funded dental insurance plan that we do not participate withWe cannot even bill them for out of network benefits,It sounds to me that the patient was diligent in trying to make sure we took her insurance,however services were provided before the confirmation had occurrednever received a message from her concerning this matter, I certainly would have addressedit at that timeAs a courtesy to this patient, I have adjusted her account balance and gave her a new patientcleaning exam and x-rays at no chargeHer balance Is zero in our system at Settler Ridge,If she wishes to come back in the future, I can offer her the Preventive Plan at that time,1Please do not hesitate to call me with any questions

We are writing in response to a complaint filed by Mr***Mr*** presented to the office onAugust 4, for dental treatmentAt that appointment his insurance coverage could not be verified.In fact, multiple attempts to ascertain coverage resulted In a cancelled insurance contract with
noeffective coverage nor benefitMr*** was informed of this and despite no verifiable coveragerequested immediate treatment opting to pay for services rendered out of pocketAs a courtesy, theoffice contacted the insurance company and explained that Mr*** did pay out of pocket fortreatment On 8-4-The insurance company then made the decision to retro activate the coverageand benefit policy on behalf of Mr***, After collaborating with the insurance company a claim wassubmitted by the office for services rendered, The reactivation of insurance plus claim submission andprocessing took over daysAn insurance payment on the behalf of Mr*** was received by theoffice and posted to his dental account leaving a reimbursement of $601.20, This amount was refundedpromptlyMr*** has received his refund as of the writing of this response and we consider thematter closed.Thank you,M B***Emmert Dental Associates

Mr *** *** was seen in our dental office back in for some fiIlings~ One of his fillings wascovered at %by his insurance carrier *** ***The other filling was not covered under hisplanMr*** paid for that 2~ filling out of pocket $148.He called the office
approximately year afterthls procedure and indicated that he believed that hisinsurance should have paid for the 2nd fillingHe again was advised that it was not covered by hisinsuranceI resubmitted the procedure to his insurance company so that would be verifiedUnitedConcordla once again denied the procedure as non coveredMr*** was responsible to pay for thatprocedureI have enclosed a copy of that Explanation of BenefitsYou will also note that we chargedhim less money than what *** *** allowed us to.There was no refund given, because there was no refund owed.Mr*** also filed a claim with the Pennsylvania Attorney GeneralThere findings concurred that hewas not overcharged:

Miss *** presented to our office on 3/12/with a broken fractured front toothrequesting immediate treatmentShe stated that the tooth had broken previously and wanted andimmediate repairThere was no evidence of decay, necessitating a bonding procedure to repair thetoothHer insurance was
contacted and subsequently informed this office that the tooth had beenrepaired less than two years prior, negating due to frequency any applied insurance benefitNoinsurance benefit would be applied to the repair given the recent repairAlso, the procedure to repairthe tooth was solely cosmetic in nature given that there was no evidence of dental decayMiss ***was not a current patient of record, but our office was more than willing to restore the tooth.Given the urgency of the request and given that the insurer indicated an adverse benefitdetermination, an out-of-pocket expense to Miss *** was unavoidableMiss *** was financiallycounselled and informed that the fee to repair the tooth would be $After much discussion, Miss*** indicated she could afford only $In an attempt to be as sensitive as possible to herfinancial concerns, as a courtesy to her, we agreed to discount the treatment by $to a budgetfriendlyamount of $Miss *** agreed to this amount and consented to the treatment.The tooth was restored and currently is cosmetically and structurally soundA service thatwould normally cost over $was discounted to meet Miss ***'s budget at an agreed-upon priceof $We feel that no refund is due to Miss *** at this timeFurther, we believe that if she hasa complaint that it should directed against the dental office which placed the original failed faultytreatment.We at Emmert Dental were happy to see and treat her during her dental crisis, not a currentpatient of record, cosmetically restoring her obvious broken front toothWe provided an immediatetreatment solution in an efficient, inexpensive, and appropriate mannerBecause this office did notplace the original restoration we were never paid by insuranceThere is obviously no coverage to repairanother office's faulty treatmentIf Miss *** wanted no out-of-pocket cost, then she needed toreturn to that office and have the work replaced by that dentistThis office has a right to be paid for ourtime and for the work that was performedHer cost was discounted by $to accommodate herbudgetShe currently has a zero account balance with usIf a miscommunication occurred at somepoint, we do apologize.Bonding is never a covered serviceThe repair was needed to correct faulty treatment byanother office, which is also never a covered repairFurther, the fee was immediately discounted withany outstanding amount adjusted to reflect zero on her accountAgain, no refund is due on our part.Miss *** has mentioned that she is sending an additional check for $62.60, but we have notrequested any additional payment, as her account balance is zeroHowever, to date, no check has beenreceivedIf we should receive such payment, we will immediately return it to her.We do regret any inconvenience or confusion over this matter, and we would like to invite Miss*** to return to Emmert Dental for a free teeth cleaning, Zoom whitening, or cosmetic consultation.Thank you.Emmert Dental Office Manager

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
Until I hear from Emmert I will continue to reject their responseI see on May 30th, they decided to finally submit a claimDays after my wife's appointment Also, in their original response they said that it was denied, meaning they had already made the claim, which they didn'tSo even in your response to the Revdex.com you continue to lie No response about the added procedures to 4/13/ Even in the bill from 4/13/and Patient report from 5/2/it claims United Concordia was paying somethingHow is that possible since to claim was ever made, more lies! I see a clear pattern of lies and deceit from to top to bottom with this company.I also believe what Emmert is doing is criminal and you should take my accusations seriously because they are true and we have proof I will be sending my proof to the proper authorities and will gladly assist them in their investigation to your business practices. Doctoring signature pages of customers is one of the most despicable things I've ever encountered My wife and I have been sick to our stomachs on how Emmert has treated us.
Regards,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
I continue to reject Emmert's response I spoke with United Concordia and no claim was sent to them before May 25, Also in Emmert's 5/24/response you state, "To date, the claim remains unpaid by United Concordia, her insurance carrier" I spoke with United Concordia and they said a claim takes days to show up if it is electronically submitted and days if sent through the mailSo the claim was only sent after I complained to the Revdex.com If they did send in the claim it would have been in their system well before 5/24/ That seems like a very convenient response and more like an excuse to add things on the bill that weren't there before As for the Adult Fluoride, that's the one thing you've done successfully right and removed it.As for the bill that they claim was sent on 6/9/17- I still don't have it in my hands and don't believe it was sent on 6/9/ I bet it'll miraculously show up in the next day or But now that I had to receive it electronically, through the Revdex.com, I will be consulting with my attorney and Mr*** will be receiving a much detailed response on how we're going to handle this because it seems like Emmert has no intentions on doing the right thing
Regards,
*** ***

I have read the
business’ response in reference to complaint # ***. I find her response satisfactory, except for
her fourth comment. The manager said she
never received a message from me concerning this matter and would have
addressed it at the time. I wasn’t given
a direct number so I couldn’t reach her directly. They only have the dental office’s main
number which I’ve tried asking to get in touch with her through her secretary,
since that was the only option. Either her
secretary failed to relay my messages to her or the manager chose to ignore
that I wanted to speak with her and explain what happened.
My reasonings are:
1. * On the day of my appointment, June 10th,
I asked who I can talk to about my insurance.
The secretary said she will have the manager call me when she’s back
from her vacation. I never received a
call
2. *
After a week had passed, on June 17th,
I received a bill in the mail from Emmert Dental with the manager’s handwritten
note stating that I have to remit a payment of $98. There was no statement in the note that she
wanted to talk about this matter
3. *The following day on June 18th, I
didn’t receive a call from the manager but from her secretary reminding me of
my payment. I asked twice to talk to the
manager but was unsuccessful in doing so. Due to not being able to get ahold of Michelle, I decided to file a complaint through the Revdex.com. She called me after the fact, but never before. Michelle had two weeks to contact me before I filed. I no longer wish to go back to this business and would not recommend this place to anyone
Regards,
***-*** ***

I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me However, I would like to make it known that by no means I would never refer this place to anyone Even though they refunded me the money the overcharged me back I still am currently doing to another dentist to have everything fixed that was wrong with the procedure they did When the manager called me to tell me she was putting a third check in the mail for it to hopefully get to me I even told her I have been still having problems with my tooth and she chose to ignore the fact I said anything .
Regards,
*** ***

4-20-2017To: Whom it may concern From: MicheleI have received the complaint copy from Mrs, *** *** concerning her x-ray requests for both her and her spouse.I spoke to her on 4-13-and told her that I would personally send her x-rays to *** *** Dental, which I mailed last Friday,
4-14-2017.I sent another copy of the x-rays todayThe x-rays have been mailed out timesI really dont understand why they haven't received themIf they don't have them by 4-25-2017, I will hand deliver themIt's very odd to me that sets of x-rays have supposedly disappeared

5-30-2017Revdex.com400 Holiday Drive Suite 220Pittsburgh, PA15220Dear [redacted],I have received the response to the complaint # [redacted], At this point In time, I am waiting for United Concordia to finalize the claim. I have also requested an audit of the account and the charges that we billed out to the member.At the time that United Concordia's findings are complete, I will be in touch with the member personally, and at that time will send a final bill.I must repeat that the tone and accusations in this letter are taken very seriously and will not be tolerated, as there is no basis to the aforementioned.Once again, thank you in advance for your help.Michele [redacted] Boyd, General Manager

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.
I do not not accept Emmert Dental's response. First, no insurance claim has been paid becasue no insurance claim has ever been submitted.  I've attached a screenshot of [redacted]'s United Concordia account and as of May 15, 2017, nothing by Emmert has been claimed.  I've attached a copy of our insurance card to see if Emmert has the correct information.  Second, We've still yet to receive a bill of our remaining balance by Emmert.  But I'm willing to guess the remaining balance is $570 as shown in the attachment of [redacted]'s patient record that was given to us on May 2, 2107.  As you can see the two underlined procedures that were added to the 05/2/17 Patient History Report for work claiming that it was done on 4/13/17 but is no where to be seen on our BILL from 4/13/17.  The insurance codes written on the Patient History Report were added by Emmert's receptionist on 5/2/17 when I specifically asked for them on that day.  Again as I stated in my original complaint the code for Fluoride that she was using was D1204 (her own writing) has been expired since January 2013.  If she would have used the correct code D1206-8 that I wrote in and underlined, it would have shown it was covered by insurance.I would like to also add that Emmert's response included documents with signatures and dates claiming to be signed by my wife on 4/13/17 and 5/2/17.  As I was reviewing with my wife, we believe some if not all have been doctored by Emmert Dental.  My wife is claiming that she not once signed any dates when she signed documents on 4/13/17. and these dates and were added by Emmert! I also know for a fact that nothing was signed on 5/2/2017 becasue we were already disturbed by Emmert's billing on 4/13/17 and my wife was not going to sign anything on her next visit.  I also witnessed her not sign anything on May 2, 2017.  
Regards,
[redacted]

Emmert Dental Associates2404 Oxford Drive Bethel Park, PA 15102 ###-###-#### 8-31-2016 Dear [redacted]I have received a copy of your complaint dated 8-10-2016 with the ID of [redacted]. I read [redacted]’s                        ...

                                          complaint and I do agree with her issues.I had talked to her last week and resolved her complaint.  She does have a zero balance in our office.I felt that everything was resolved and that she was satisfied, if that is not the case, please let me know if there is anything else t can do for her. Emmert Dental Associates

5-24-2017Revdex.com 400 Holiday Drive Suite 220Pittsburgh, PA 15220 Dear [redacted],I have received the complaint # [redacted], from [redacted] on behalf of his spouse [redacted].I also have read the complaint. I have, because of the serious nature of this and fraud allegations,...

decided to turn this over to our attorney, [redacted], I can assure you there is no fraud, no intent of fraud or no issue with her billing and/ or charges.The patient came to us with a tooth that was grossly decayed and broken. Everything was done on the part of the dentist to save the tooth for her, Ms. [redacted] signed all of the appropriate consent forms, cost estimate form and decided to proceed with her treatment.I have enclosed copies of everything that she signed, including consents and cost estimate.To date, the claim remains unpaid by United Concordia, her insurance carrier. Mr [redacted]'s claim of overpayment is unfounded and based on the information that we have on file from their Insurance company, the appropriate amounts have been charged out and no refund is due. It appears that there is also a remaining balance due.Thank you  in advance for your help with this matter.Michele [redacted], General ManagerEmmert Dental Associates

I have received the complaint reference #[redacted]I have contacted the patient directly. She did overpayfor dental services. We issued a refund check toheron 5-4-2015 and again on 6-20-2015. According to our bank records neither check has been cashed.I have re-issued the check again today and have...

instructed her to call my personal cell if she does notreceive it by this Friday,[redacted]Emmert Dental Associates

6-6-2017Ref: [redacted]Dear [redacted],This is a follow up to my letter dated 5-30-2017. I have received the review of charges by United Concordia, the insurance carrier of this patient. According to UCCI, the total liability for the 2 dates of service were $1483. The patient paid $450 to date and has an outstanding balance of $1033. This balance must be paid to our office no later than 6-30-2017.I have enclosed a copy of the Explanation of Benefits. It outlines the members obligation. Our attorney sent a letter to the patient to cease and desist with allegations of fraud and criminal activity. If the member pays her balance and they cease with the threats and allegations, we will consider this matter closed.If either Mr. or Mrs. [redacted] continue with this language either written or verbal, Emmert Dental Associates, along with our attorney, plans to pursue a defamation lawsuit.I will send a bill to the patient for the balance.Thank you for your help in this matter. Michele * B[redacted], General Manager

I am writing to you concerning complaint # [redacted] -[redacted]. I have read hercomplaint and have spoken to my staff.1. My staff agreed that there was some confusion as to the type of plan that she had. They didtry to verify before hand, but they were unsuccessful in doing so.2. The patient...

has a state funded dental insurance plan that we do not participate with. We cannot even bill them for out of network benefits,3. It sounds to me that the patient was diligent in trying to make sure we took her insurance,however services were provided before the confirmation had occurred.4.1 never received a message from her concerning this matter, I certainly would have addressedit at that time.5. As a courtesy to this patient, I have adjusted her account balance and gave her a new patientcleaning exam and x-rays at no charge. Her balance Is zero in our system at Settler Ridge,6. If she wishes to come back in the future, I can offer her the Preventive Plan at that time,1Please do not hesitate to call me with any questions.

Emmert Dental Associates 2404 Oxford Drive Bethel Park PA 15102 Revdex.com Revdex.com 400 Holiday Drive, Suite 220 Pittsburgh, PA 15220 ###-###-#### 11-21-2016 Dear [redacted] I have received a copy of your complaint ID # [redacted] dated 11-18-2016 from [redacted] for her boyfriend [redacted]...

[redacted] I have read the complaint 1 can offer the following information, 1.     The patient did pay us for work performed. 2,     We were not aware of insurance at the time of service. 3,     After the services, we were informed that there maybe Insurance involved. 4.     We submitted the claim to [redacted] Dental 5.     The patient is due a refund for an overpayment. 6,     1 took care of this today with [redacted]. I hope this suffices our patient. I apologized for any inconvenience and spoke to the girlfriend today as well. Michele B[redacted], General Manager Emmert Dental Associates