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Harold J Cohen Orthodontics

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Harold J Cohen Orthodontics Reviews (1)

Review: I had contracted with the orthodontic office for services for both of my children. The total charge agreed to was $11540.00. I was set up on a payment plan and had made several payments to their office. After services began, my children received ortodontic insurance coverage through the PA state CHIP program. The provider's office submitted the full charge to [redacted]. The insurance made payment to the provider for $9009.24 and stated that $2019 needed to be written off as they were a participating provider. I was responsible for $326.76 for services provided BEFORE EFFECTIVE DATE OF COVERAGE. When I called to inquire about a refund, I was told that they didn't receive enough money from the insurance. They sent a partial refund to me. After several calls, they made an additional refund, but still held back $1072 more than the amount the insurance stated I was responsible for. The woman at the provider's office (3rd different billing person in the 2 years my kids were receiving treatment), told me that they submitted an additional claim to the insurance for each child for $536 for a "pre-ortho" treatment with a date prior to the effective date of the coverage. This charge was not something originally charged for and was added after the fact when they were unhappy that we were no longer self-pay and they were not able to collect their full charge. I appealled this with the insurance company, but was told they can only deny it as prior to coverage and were not able to address the fact that the charge was increased after the contract was signed. I contact the PA insurance commisioner and was told that this was a contract dispute and not an insurance issue. Please help.Desired Settlement: Would like a refund of my remaining monies paid (minus the $326.76 the insurance states I am responsible for). The remainder due to me is $1072.00.

Business

Response:

From: [redacted] <[redacted]>

Date: Thu, Aug 22, 2013 at 10:48 AM

Subject: Response to Complaint ID [redacted]

To: [redacted]

Dear [redacted],

This letter is in response to Complaint ID: [redacted].

Please be advised our office contacted the consumer directly and complied with her desired settlement in the amount of $1,072.00. A copy of the signed release form from the consumer indicating a refund was granted is attached. Please review this information and advise if anything further is required from our office to close this complaint. Also, please acknowledge receipt of this email and advise that it has been noted we replied to the consumer complaint and the matter has been rectified.

Financial Coordinator

Cohen & Ross Orthdontics

Consumer

Response:

[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.]

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.

Regards,

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Description: Dentist - Orthodontist

Address: 135 E Elm Ave, Hanover, Pennsylvania, United States, 17331

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