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Go Refresh Dental Reviews (6)

Dear [redacted] :I recieived the notification that this claim has been re-openedI have reviewed all the correspondence from her insurance and have adjusted the balance from ***s accountShe now has a balance of $I will reach out to her and let her know as wellIf you need any additional information let me knowThank you and have a great day!Callie C [redacted] Office ManagerRefresh Dental New CastleNORTH AMERICAN DENTAL GROUP [redacted] *

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
Regards,
*** ***Hi ***, My name is *** *** and my case ID # ***I am emailing you in regards to a file my husband opened against Refresh DentalSorry it has taken so long to get back with youWe spoke about me contacting my insurance company to see if they were going to pay the bill that was resubmittedI spoke with them and they will NOT pay because Refresh Dental did not resubmit my claim with in the allotted amount of timeWhich I believe they said was or daysSo now I will have to pay the est$ If you closed my case please reopen so that Refresh Dental is made aware of what they did by not doing as asked times in order for my insurance to paySo now I have the financial hardship of trying to come up with this money.Thank you,*** ***Sent from my iPhone

Dear ***:In regards to complaint ID ***, we are still currently working on the claimI have resubmitted the claim for the date of service 9/30/where the balance of $is stemming fromWhen the initial claim was sent and received by insurance, there was a miscommunication on the
side of the mouth that the procedure was completed on, on 9/30/The claim that was resubmitted was sent with a narrative explaining where previous treatment was done and were the treatment from 9/30/was located as well, along with x-rays and all needed documentationI am still waiting to hear back from ***s insurance in regards to the new information and claimBased off of their determination, ***s account will be adjusted accordinglyI will continue to follow up with you and *** to assure patient satisfactionIf you have any additional questions, please do not hesitate to give me a call. Callie C***Office ManagerRefresh Dental New CastleNORTH AMERICAN DENTAL GROUP*** *** *** * *** *

Dear [redacted]:I recieived the notification that this claim has been re-opened. I have reviewed all the correspondence from her insurance and have adjusted the balance from [redacted]s account. She now has a balance of $0.00. I will reach out to her and let her know as well. If you need any additional information let me know. Thank you and have a great day!Callie C[redacted]Office ManagerRefresh Dental New CastleNORTH AMERICAN DENTAL GROUP[redacted]
[redacted] [redacted]

Revdex.com400 Holiday Dr Ste 220Pittsburgh, PA 15220Attn: [redacted]Dear [redacted],I am responding to complaint #[redacted]. Patient was seen in our Cranberry Township, PA office located at [redacted] on 6/8/15. Patient was also seen on 1/5/2016. The January 2016 date of...

service was paid in full by the patient's carrier, however the June 2015 date of service, the patient did not have any valid insurance coverage and was responsible for the charges of $152.The patients account was sent to our collections agency in an attempt to collect the outstanding balance and the letter sent to the patient reflected the last date of service the patient was seen in our office, this was not the date of the outstanding charge.Patient was contacted by phone and charges were explained. She agreed and paid the bill in full. We have removed the patient from our collections agency with no effect on their credit score.Sincerely, Yvonne P[redacted]Patient AR SupervisorNorth American Dental Group

Review: Greater than 180 days prior, I had a partial dental fixture made and fitted. I paid the uncovered portion of the bill and my insurance company was billed for the covered amount. At approximately 45 days following I received a bill for the covered amount. The dental office was contacted and they said that the insurance company did not pay. I discussed why and it was concluded by the office person that it was not submitted correctly and that they would resubmit the claim. After the 60 day point I receive another bill and another inquiry was made with the dental office. They said they were resubmitting the claim not to worry about it. The 90 day point comes and I receive another bill. The same action and response occur. At the 120+ point an inquiry is made with the office's 1800 number. The dental representative claims that they do not know why we are getting a bill that nothing is showing on the system that we owe anything and that they are unsure why the local office is. They say they will call back within a few days. No call was ever received. Some time passes and another bill was received. This time the insurance company was contacted directly. They state that it was billed as a replacement dental fixture for the incorrect side of the mouth and as a bridge. It was not paid because I had a bridge within the past 5 years on the one side. The item in question is a partial fixture for the other side of the mouth and is a completely new item. They also say that because it was not resubmitted correctly within 180 days that they will not pay benefits. A call was made to the dental office 1800 number to which they say they can resubmit it and we will hear from them in approximately 4 days. They have no direct number to contact their billing department to discuss the issue. Now, I may have to pay the balance which should have been covered provided they submitted the claim correctly, responded to any of the inquiries concerning the billed amount, or showed what they submitted.Desired Settlement: Refresh dental should credit my account for the amount owed as a result of this incident with no adverse credit reporting if the claim is not accepted by the insurance company.

Business

Response:

Dear [redacted]:In regards to complaint ID [redacted], we are still currently working on the claim. I have resubmitted the claim for the date of service 9/30/15 where the balance of $298.50 is stemming from. When the initial claim was sent and received by insurance, there was a miscommunication on the side of the mouth that the procedure was completed on, on 9/30/15. The claim that was resubmitted was sent with a narrative explaining where previous treatment was done and were the treatment from 9/30/15 was located as well, along with x-rays and all needed documentation. I am still waiting to hear back from [redacted]s insurance in regards to the new information and claim. Based off of their determination, [redacted]s account will be adjusted accordingly. I will continue to follow up with you and [redacted] to assure patient satisfaction. If you have any additional questions, please do not hesitate to give me a call. Callie C[redacted]Office ManagerRefresh Dental New CastleNORTH AMERICAN DENTAL GROUP[redacted]

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Description: DENTISTS, DENTISTS-ORTHODONTICS, DENTIST - PERIODONTIST

Address: Silver Spring, Pennsylvania, United States, 20902-4507

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