Due to insufficient information regarding *** ***'s dental benefits being provided to the Dental Provider prior to rendering treatment, the services requested will be approved. *** *** and her dental provider will receive a copy of the updated Explanation of Benefits showing the approval
and payment for the treatment rendered will be issued under separate coverIn the future, we suggest a prior authorization request be submitted prior to rendering any major services to ensure accurate information regarding plan exclusions and/or limitations
At this time, I have been contacted directly by Healthplex, Inc. regarding complaint ID ***, however my complaint has NOT been resolved becauseI received a letter from healthplex dated Oct *, stating that I would receive an explanation of benifets under separate coverAs of today
Nov **, I have not received anything else from healthplexAs of today when I view the claim on the Healthplex website it does not indicate that they have paid me any money
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***
Good Afternoon. Please see the attached response that was sent to the
NYS Department of Financial Services in regards to *** ***s
complaint. A copy of the applicable Explanation of Benefits is also
attached. Patient copayments apply to this service in lieu of payment
from his self-funded plan. Duplicate copies of the Explanation of
Benefits were mailed to *** *** today per his requestThank you.Erica P***| Manager,
Quality Management Department| P: ###-###-#### | F: ###-###-#### |E: ***Healthplex, Inc *** *** *** *** *** *** *** ** *** | ***Healthplex is committed to providing access to
high quality affordable dental care and to improving the oral health of our
community. Our comprehensive, innovative solutions serve to build trust
and deliver value.Confidentiality
Notice: Confidential and Protected Health Information may be enclosedIt is
being sent to you after appropriate authorization from the patient or under
circumstances that do not require authorizationYou, the recipient, are
obligated to maintain it in a safe, secure and confidential manner pursuant to
federal and state lawIf you are not the intended recipient, or the employee
or agent responsible to deliver it to the intended recipient, you are hereby
notified that any disclosure, copying or distributing of this information is
strictly prohibitedIf you have received this transmission in error, please
notify the sender immediately to arrange for the return or destruction of these
documents
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** *
Due to insufficient information regarding *** ***'s dental benefits being provided to the Dental Provider prior to rendering treatment, the services requested will be approved. *** *** and her dental provider will receive a copy of the updated Explanation of Benefits showing the approval
and payment for the treatment rendered will be issued under separate coverIn the future, we suggest a prior authorization request be submitted prior to rendering any major services to ensure accurate information regarding plan exclusions and/or limitations
At this time, I have been contacted directly by Healthplex, Inc. regarding complaint ID ***, however my complaint has NOT been resolved becauseI received a letter from healthplex dated Oct *, stating that I would receive an explanation of benifets under separate coverAs of today
Nov **, I have not received anything else from healthplexAs of today when I view the claim on the Healthplex website it does not indicate that they have paid me any money
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***
Good Afternoon. Please see the attached response that was sent to the
NYS Department of Financial Services in regards to *** ***s
complaint. A copy of the applicable Explanation of Benefits is also
attached. Patient copayments apply to this service in lieu of payment
from his self-funded plan. Duplicate copies of the Explanation of
Benefits were mailed to *** *** today per his requestThank you.Erica P***| Manager,
Quality Management Department| P: ###-###-#### | F: ###-###-#### |E: ***Healthplex, Inc *** *** *** *** *** *** *** ** *** | ***Healthplex is committed to providing access to
high quality affordable dental care and to improving the oral health of our
community. Our comprehensive, innovative solutions serve to build trust
and deliver value.Confidentiality
Notice: Confidential and Protected Health Information may be enclosedIt is
being sent to you after appropriate authorization from the patient or under
circumstances that do not require authorizationYou, the recipient, are
obligated to maintain it in a safe, secure and confidential manner pursuant to
federal and state lawIf you are not the intended recipient, or the employee
or agent responsible to deliver it to the intended recipient, you are hereby
notified that any disclosure, copying or distributing of this information is
strictly prohibitedIf you have received this transmission in error, please
notify the sender immediately to arrange for the return or destruction of these
documents
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** *
Revdex.com:At this time, I have not been contacted by Healthplex, Inc. regarding complaint ID [redacted].Sincerely,
[redacted]