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K-N-K Extreme DJ-ING

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K-N-K Extreme DJ-ING Reviews (2)

This patient was seen in our office for treatment on 8-11- Prior to her being seen, we verified her dental benefit information to establish that she did, in fact, have active dental coverage Our practice is not contracted with any medical carriers and therefore, only verify and submit to dental insurance for claim payment consideration At the time we verified her dental benefits, we were not made aware by her insurance carrier that they might request a medical estimation of benefits before they would fully consider and/or pay for any submitted dental claims for oral surgery Once treatment was provided and the claim was sent to her dental insurance carrier, we received notice from her insurance that they wanted a medical estimation of benefits before they would finalize the claim they had on file from our office We attempted to contact the patient twice (9-1-and 9-24-15) to request her medical coverage information so we might assist her with getting a claim sent to her medical carrier After two attempts without any response from the patient, we closed her dental claim on 10-14-and sent the patient a statement for the remaining balance The patient called our office on 10-23-to discuss the matter however, the accounts manager was not in the office at the time of her call Her call was returned on 10-26-15, at which time it was explained to her that since the balance was outstanding since August without any contact from her until she received request for payment from our office, we had closed her claim and she was now financially responsible for her account She inquired about our office billing her medical carrier for her, at which time it was explained that since we had already closed her claim and the account balance was over days, she would need to work directly with her medical and dental insurances to resolve payment directly with them and that she needed to remit all monies due to our office directly We agreed to gather all the documents she might need for her to submit claims directly and sent the paperwork to her on 10-26- The patient did express her frustration over the situation and was upset that we would not re-open her claim and work with both her medical and dental carriers for her so she would not have to be responsible for the submission of her own claims However, at the end of the call, the patient did thank us for agreeing to send her all the paperwork and expressed understanding that she was ultimately financially responsible for her unpaid account balance In addition to the verbal conversations between the patient and our office, we also have two (2) signed financial agreements from the patient, which clearly outline our office policies in regards to insurance and any unpaid debt for services rendered Based on those signed agreements, the patient should have remitted the unpaid balance to our office by 10-11-to avoid any further collection proceedings As of today, we are still trying to work with her to get payment and have not proceeded with any negative credit reporting or collection agency assignment, which we feel shows our willingness to resolve this matter with her We want be paid for the services we provided to her, given that it has been five (5) months since she received treatment We have been more than understanding and fair in regards to her insurance claim issues and even offered additional assistance by providing her with all the necessary documentation for her to work with her medical carrier for claim payment consideration At this time, we would like the patient to honor her financial agreement with our office and remit payment in full for the treatment provided to her on 8-11- Thank you for your assistance with this matter

This patient was seen in our office for treatment on 8-11-15.  Prior to her being seen, we verified her dental benefit information to establish that she did, in fact, have active dental coverage.  Our practice is not contracted with any medical carriers and therefore, only verify and...

submit to dental insurance for claim payment consideration.  At the time we verified her dental benefits, we were not made aware by her insurance carrier that they might request a medical estimation of benefits before they would fully consider and/or pay for any submitted dental claims for oral surgery.  Once treatment was provided and the claim was sent to her dental insurance carrier, we received notice from her insurance that they wanted a medical estimation of benefits before they would finalize the claim they had on file from our office.  We attempted to contact the patient twice (9-1-15 and 9-24-15) to request her medical coverage information so we might assist her with getting a claim sent to her medical carrier.  After two attempts without any response from the patient, we closed her dental claim on 10-14-15 and sent the patient a statement for the remaining balance.  The patient called our office on 10-23-15 to discuss the matter however, the accounts manager was not in the office at the time of her call.  Her call was returned on 10-26-15, at which time it was explained to her that since the balance was outstanding since August without any contact from her until she received request for payment from our office, we had closed her claim and she was now financially responsible for her account.  She inquired about our office billing her medical carrier for her, at which time it was explained that since we had already closed her claim and the account balance was over 60 days, she would need to work directly with her medical and dental insurances to resolve payment directly with them and that she needed to remit all monies due to our office directly.  We agreed to gather all the documents she might need for her to submit claims directly and sent the paperwork to her on 10-26-15.  The patient did express her frustration over the situation and was upset that we would not re-open her claim and work with both her medical and dental carriers for her so she would not have to be responsible for the submission of her own claims.  However, at the end of the call, the patient did thank us for agreeing to send her all the paperwork and expressed understanding that she was ultimately financially responsible for her unpaid account balance.  In addition to the verbal conversations between the patient and our office, we also have two (2) signed financial agreements from the patient, which clearly outline our office policies in regards to insurance and any unpaid debt for services rendered.  Based on those signed agreements, the patient should have remitted the unpaid balance to our office by 10-11-15 to avoid any further collection proceedings.  As of today, we are still trying to work with her to get payment and have not proceeded with any negative credit reporting or collection agency assignment, which we feel shows our willingness to resolve this matter with her.  We want be paid for the services we provided to her, given that it has been five (5) months since she received treatment.   We have been more than understanding and fair in regards to her insurance claim issues and even offered additional assistance by providing her with all the necessary documentation for her to work with her medical carrier for claim payment consideration.  At this time, we would like the patient to honor her financial agreement with our office and remit payment in full for the treatment provided to her on 8-11-15.   Thank you for your assistance with this matter.

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