Joseph R Ryan DDS

It appears there has been a misunderstanding between Mr and our office We do accept [redacted] and we always have Because Mr has dual coverage, we submitted his claims first to his primary carrier which is [redacted] Upon their payment, we then submitted the claims to Mr secondary insurance ( [redacted] ***) when a patient has dual coverage, it is customary to submit all claims to both carriers Insurance companies make determination of their own regarding their usual, customary and reasonable charges which are typically less than the amounts charged by dental offices This is the reason for submitting claims to all of the patients' insurance carriers When [redacted] paid Mrs , claim, they sent a check to the subscriber in the amount of $rather than sending it to us In checking with [redacted] ***, sometimes when they are the secondary carrier, the check is sent to the subscriber even though the monies are due us That is just what happened in this case Therefore we have billed Mr for $ Please see attached Explanations of Benefits Thank you

I am rejecting this response because: Why would they bill metlife when [redacted] paid the FULL amount for my cleaning? This is douple billing by this dental office and action should be taken to stop them from doing this. When they accepted [redacted] they agreeded to the amount billed to them.

March 14, This letter is a follow up to my letter of February 28th concerning complaint ID # #### Please see attached letter from [redacted] Because the information that we were given was incorrect, we billed [redacted] in error We have now adjusted [redacted] s bill to a 0(zero) balance We hope this resolution is satisfactory Thank you

Again, two statements were sent to this patient, the last one being a final statement After these two attempts and a call from patient's telephone number stating they refused to pay, we turned the account over collections on 11/19/ The collections agency sent him a letter on 11/20/informing him he had been sent to collections and how to pay his bill The collections agency sent a follow up letter on 12/22/14, again telling him that his account was in collections for refusal to pay Sometime in his account went to his credit report The credit agency does not give out exact dates when accounts are placed As his telephone numbers no longer worked, the collection agency did not attempt trying to call him The patient called the collection agency on 1/23/and paid his bill in full

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because:The business violated my health information privacy rights.
Regards,
*** ***

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

It appears there has been a misunderstanding between Mr.      and our office.  We do accept [redacted] and we always have.
Because Mr.                has dual coverage, we submitted his claims first to his primary carrier...

which is [redacted]  Upon their payment, we then submitted the claims to Mr.            secondary insurance ([redacted]) when a patient has dual coverage, it is customary to submit all claims to both carriers.  Insurance companies make determination of their own regarding their usual, customary and reasonable charges which are typically less than the amounts charged by dental offices.  This is the reason for submitting claims to all of the patients' insurance carriers.
When [redacted] paid Mrs.           , claim, they sent a check to the subscriber in the amount of $72.40 rather than sending it to us.  In checking with [redacted], sometimes when they are the secondary carrier, the check is sent to the subscriber even though the monies are due us.  That is just what happened in this case.  Therefore we have billed Mr.              for $72.40.  Please see attached Explanations of Benefits.
Thank you.

I am rejecting this response because: Why would they bill metlife when [redacted] paid the FULL amount for my cleaning? This is douple billing by this dental office and action should be taken to stop them from doing this. When they accepted [redacted] they agreeded to the amount billed to them.

March 14, 2014
This letter is a follow up to my letter of February 28th concerning complaint ID # ####
Please see attached letter from [redacted]  Because the information that we were given was incorrect,
we billed [redacted] in error.  We have now adjusted [redacted]s bill to a 0(zero) balance.  We hope this
resolution is satisfactory.
Thank you.

Feb. 6, 2017We have included progress notes for this patient. As you can see, the patient failed to show for appointment on 11/15/13 and 12/12/13. We sent statements and also spoke to family.[redacted]
[redacted]
[redacted]###-###-####

Again, two statements were sent...

to this patient, the last one being a final statement.  After these two attempts and a call from patient's telephone number stating they refused to pay, we turned the account over collections on 11/19/14.  The collections agency sent him a letter on 11/20/14 informing him he had been sent to collections and how to pay his bill.  The collections agency sent a follow up letter on 12/22/14, again telling him that his account was in collections for refusal to pay.  Sometime in 2015 his account went to his credit report.  The credit agency does not give out exact dates when accounts are placed.  As his telephone numbers no longer worked, the collection agency did not attempt trying to call him.  The patient called the collection agency on 1/23/17 and paid his bill in full