On March 2nd 2017, [redacted] was seen in our Great Falls officePaper work wasgiven to fill out at time of the appointment, one page regarding insuranceThat form was onlypartially filled out but did have a signature and date at the bottomAt that appointment, severalcavities were detected and [redacted] **needed to be taken to the Surgical Center in Helena due to hisage and BM!We filed a claim for the appointment on March 2nd which was denied on March2ndUpon receiving denial for services performed on March 2nd, we sent a statement to [redacted] Sradvising him that his son's March 2nd appointment had been denied.When I realized this was an insurance account, I sent [redacted] Sra treatment plan with anestimated out of pocket cost based on the information that was on partially filled out formWe always let insurance patients know we expect payment for the Surgi Center appointment inadvanceIf for any reason the treatment plan changes or if for any reason insurance pays lessthan estimated we would bill any remaining balanceWe also inform them that we are not an in·network provider but that we would file the insurance claimWe are not obligated to file thisclaim but do so as a courtesy to themWe also advise them to check with their insuranceregarding our charges and their payable amountsHe requested a Pre-D of his son's upcomingappointment which we then did as a courtesy to him[redacted] called again and informed us that Blue Cross Blue Shield had not received thePre-D requestWe then sent out another request and told him that he should receive confirmationfrom Blue Cross regarding the Pre·D as we do not receive them because we are not a provider.He kept the appointment but per [redacted] the Pre-D was received after having the appointmentHewas advised that it is his responsibility to contact his insurance company to ensure coverage.Insurance was set up as a State Blue Cross Blue Shield planNo R number was visible onthe insurance card provided on March 2nd indicating a different planIt was discovered afterreceiving the EOB denying payment for appointment at the Surgi Center on April 3rd that it wasactually a Federal medical planBlue Cross Blue Shield applied payment towards his deductible[redacted] called the office regarding the balance on his bill on 7/He was informed thatwe are not responsible for his balance to the Surgi Center or the balance due to theanesthesiologistHe kept insisting that he was told otherwiseThe treatment plan he receivedfrom Kalmar Dental was for dental procedures and fees onlyHe was told that as a courtesy tohim, Kalmor Dental wrote off $for charges that were not included on the original treatmentplanThe Surgery Center would have been in contact with [redacted] about his insurance regardingfees and procedures for their facilityWe were told by the Surgi Center that they will provideinformation regarding procedures and fees to the patient upon requestAt this point in theconversation, [redacted] kept repeating his concerns about the charges from the Surgi Center andanesthesiologistHe was repeatedly told that those charges are out of our controlHe thenbecame more vocalI held the phone away from ear and said "Sir please stop yelling, I am onlytrying to help you." He started loudly repeating concerns againI told him if he wouldn't stopyelling that I would hang up on him [redacted] persistently continued to raise his voice at whichpoint I told him good-bye because he was not listening to me and he needed to calm downI toldhim goodbye and hung the phone up.He called back a few minutes later and talked to another front office staffShe told himthat she would take his phone number and someone would call him tomorrowIt was at thatpoint that he informed her that he was recording the conversationShe said okay, verified hisphone number and hung up.He called back two days later at which point he was reminded again that we dideverything we could on our end, including writing off $as a courtesy to him and that wewere not responsible for the Surgi Center or anesthesiologist feesPer Doctor C [redacted] we gavehim the phone numbers to the Surgi Center and to the Montana Dental AssociationHe saidthank you and hung up the phoneWe wrote off the remaining balance on his account per DoctorC***
On March 2nd 2017, [redacted] was seen in our Great Falls office. Paper work wasgiven to fill out at time of the appointment, one page regarding insurance. That form was onlypartially filled out but did have a signature and date at the bottom. At that appointment, severalcavities were detected...
and [redacted]. needed to be taken to the Surgical Center in Helena due to hisage and BM!. We filed a claim for the appointment on March 2nd which was denied on March2nd. Upon receiving denial for services performed on March 2nd, we sent a statement to [redacted] Sr. advising him that his son's March 2nd appointment had been denied.When I realized this was an insurance account, I sent [redacted] Sr. a treatment plan with anestimated out of pocket cost based on the information that was on partially filled out form. We always let insurance patients know we expect payment for the Surgi Center appointment inadvance. If for any reason the treatment plan changes or if for any reason insurance pays lessthan estimated we would bill any remaining balance. We also inform them that we are not an in·network provider but that we would file the insurance claim. We are not obligated to file thisclaim but do so as a courtesy to them. We also advise them to check with their insuranceregarding our charges and their payable amounts. He requested a Pre-D of his son's upcomingappointment which we then did as a courtesy to him.[redacted] called again and informed us that Blue Cross Blue Shield had not received thePre-D request. We then sent out another request and told him that he should receive confirmationfrom Blue Cross regarding the Pre·D as we do not receive them because we are not a provider.He kept the appointment but per [redacted] the Pre-D was received after having the appointment. Hewas advised that it is his responsibility to contact his insurance company to ensure coverage.Insurance was set up as a State Blue Cross Blue Shield plan. No R number was visible onthe insurance card provided on March 2nd indicating a different plan. It was discovered afterreceiving the EOB denying payment for appointment at the Surgi Center on April 3rd that it wasactually a Federal medical plan. Blue Cross Blue Shield applied payment towards his deductible.[redacted] called the office regarding the balance on his bill on 7/5117. He was informed thatwe are not responsible for his balance to the Surgi Center or the balance due to theanesthesiologist. He kept insisting that he was told otherwise. The treatment plan he receivedfrom Kalmar Dental was for dental procedures and fees only. He was told that as a courtesy tohim, Kalmor Dental wrote off $453 for charges that were not included on the original treatmentplan. The Surgery Center would have been in contact with [redacted] about his insurance regardingfees and procedures for their facility. We were told by the Surgi Center that they will provideinformation regarding procedures and fees to the patient upon request. At this point in theconversation, [redacted] kept repeating his concerns about the charges from the Surgi Center andanesthesiologist. He was repeatedly told that those charges are out of our control. He thenbecame more vocal. I held the phone away from ear and said "Sir please stop yelling, I am onlytrying to help you." He started loudly repeating concerns again. I told him if he wouldn't stopyelling that I would hang up on him. [redacted] persistently continued to raise his voice at whichpoint I told him good-bye because he was not listening to me and he needed to calm down. I toldhim goodbye and hung the phone up.He called back a few minutes later and talked to another front office staff. She told himthat she would take his phone number and someone would call him tomorrow. It was at thatpoint that he informed her that he was recording the conversation. She said okay, verified hisphone number and hung up.He called back two days later at which point he was reminded again that we dideverything we could on our end, including writing off $453 as a courtesy to him and that wewere not responsible for the Surgi Center or anesthesiologist fees. Per Doctor C[redacted] we gavehim the phone numbers to the Surgi Center and to the Montana Dental Association. He saidthank you and hung up the phone. We wrote off the remaining balance on his account per DoctorC[redacted].
On March 2nd 2017, [redacted] was seen in our Great Falls officePaper work wasgiven to fill out at time of the appointment, one page regarding insuranceThat form was onlypartially filled out but did have a signature and date at the bottomAt that appointment, severalcavities were detected and [redacted] **needed to be taken to the Surgical Center in Helena due to hisage and BM!We filed a claim for the appointment on March 2nd which was denied on March2ndUpon receiving denial for services performed on March 2nd, we sent a statement to [redacted] Sradvising him that his son's March 2nd appointment had been denied.When I realized this was an insurance account, I sent [redacted] Sra treatment plan with anestimated out of pocket cost based on the information that was on partially filled out formWe always let insurance patients know we expect payment for the Surgi Center appointment inadvanceIf for any reason the treatment plan changes or if for any reason insurance pays lessthan estimated we would bill any remaining balanceWe also inform them that we are not an in·network provider but that we would file the insurance claimWe are not obligated to file thisclaim but do so as a courtesy to themWe also advise them to check with their insuranceregarding our charges and their payable amountsHe requested a Pre-D of his son's upcomingappointment which we then did as a courtesy to him[redacted] called again and informed us that Blue Cross Blue Shield had not received thePre-D requestWe then sent out another request and told him that he should receive confirmationfrom Blue Cross regarding the Pre·D as we do not receive them because we are not a provider.He kept the appointment but per [redacted] the Pre-D was received after having the appointmentHewas advised that it is his responsibility to contact his insurance company to ensure coverage.Insurance was set up as a State Blue Cross Blue Shield planNo R number was visible onthe insurance card provided on March 2nd indicating a different planIt was discovered afterreceiving the EOB denying payment for appointment at the Surgi Center on April 3rd that it wasactually a Federal medical planBlue Cross Blue Shield applied payment towards his deductible[redacted] called the office regarding the balance on his bill on 7/He was informed thatwe are not responsible for his balance to the Surgi Center or the balance due to theanesthesiologistHe kept insisting that he was told otherwiseThe treatment plan he receivedfrom Kalmar Dental was for dental procedures and fees onlyHe was told that as a courtesy tohim, Kalmor Dental wrote off $for charges that were not included on the original treatmentplanThe Surgery Center would have been in contact with [redacted] about his insurance regardingfees and procedures for their facilityWe were told by the Surgi Center that they will provideinformation regarding procedures and fees to the patient upon requestAt this point in theconversation, [redacted] kept repeating his concerns about the charges from the Surgi Center andanesthesiologistHe was repeatedly told that those charges are out of our controlHe thenbecame more vocalI held the phone away from ear and said "Sir please stop yelling, I am onlytrying to help you." He started loudly repeating concerns againI told him if he wouldn't stopyelling that I would hang up on him [redacted] persistently continued to raise his voice at whichpoint I told him good-bye because he was not listening to me and he needed to calm downI toldhim goodbye and hung the phone up.He called back a few minutes later and talked to another front office staffShe told himthat she would take his phone number and someone would call him tomorrowIt was at thatpoint that he informed her that he was recording the conversationShe said okay, verified hisphone number and hung up.He called back two days later at which point he was reminded again that we dideverything we could on our end, including writing off $as a courtesy to him and that wewere not responsible for the Surgi Center or anesthesiologist feesPer Doctor C [redacted] we gavehim the phone numbers to the Surgi Center and to the Montana Dental AssociationHe saidthank you and hung up the phoneWe wrote off the remaining balance on his account per DoctorC***
On March 2nd 2017, [redacted] was seen in our Great Falls office. Paper work wasgiven to fill out at time of the appointment, one page regarding insurance. That form was onlypartially filled out but did have a signature and date at the bottom. At that appointment, severalcavities were detected...
and [redacted]. needed to be taken to the Surgical Center in Helena due to hisage and BM!. We filed a claim for the appointment on March 2nd which was denied on March2nd. Upon receiving denial for services performed on March 2nd, we sent a statement to [redacted] Sr. advising him that his son's March 2nd appointment had been denied.When I realized this was an insurance account, I sent [redacted] Sr. a treatment plan with anestimated out of pocket cost based on the information that was on partially filled out form. We always let insurance patients know we expect payment for the Surgi Center appointment inadvance. If for any reason the treatment plan changes or if for any reason insurance pays lessthan estimated we would bill any remaining balance. We also inform them that we are not an in·network provider but that we would file the insurance claim. We are not obligated to file thisclaim but do so as a courtesy to them. We also advise them to check with their insuranceregarding our charges and their payable amounts. He requested a Pre-D of his son's upcomingappointment which we then did as a courtesy to him.[redacted] called again and informed us that Blue Cross Blue Shield had not received thePre-D request. We then sent out another request and told him that he should receive confirmationfrom Blue Cross regarding the Pre·D as we do not receive them because we are not a provider.He kept the appointment but per [redacted] the Pre-D was received after having the appointment. Hewas advised that it is his responsibility to contact his insurance company to ensure coverage.Insurance was set up as a State Blue Cross Blue Shield plan. No R number was visible onthe insurance card provided on March 2nd indicating a different plan. It was discovered afterreceiving the EOB denying payment for appointment at the Surgi Center on April 3rd that it wasactually a Federal medical plan. Blue Cross Blue Shield applied payment towards his deductible.[redacted] called the office regarding the balance on his bill on 7/5117. He was informed thatwe are not responsible for his balance to the Surgi Center or the balance due to theanesthesiologist. He kept insisting that he was told otherwise. The treatment plan he receivedfrom Kalmar Dental was for dental procedures and fees only. He was told that as a courtesy tohim, Kalmor Dental wrote off $453 for charges that were not included on the original treatmentplan. The Surgery Center would have been in contact with [redacted] about his insurance regardingfees and procedures for their facility. We were told by the Surgi Center that they will provideinformation regarding procedures and fees to the patient upon request. At this point in theconversation, [redacted] kept repeating his concerns about the charges from the Surgi Center andanesthesiologist. He was repeatedly told that those charges are out of our control. He thenbecame more vocal. I held the phone away from ear and said "Sir please stop yelling, I am onlytrying to help you." He started loudly repeating concerns again. I told him if he wouldn't stopyelling that I would hang up on him. [redacted] persistently continued to raise his voice at whichpoint I told him good-bye because he was not listening to me and he needed to calm down. I toldhim goodbye and hung the phone up.He called back a few minutes later and talked to another front office staff. She told himthat she would take his phone number and someone would call him tomorrow. It was at thatpoint that he informed her that he was recording the conversation. She said okay, verified hisphone number and hung up.He called back two days later at which point he was reminded again that we dideverything we could on our end, including writing off $453 as a courtesy to him and that wewere not responsible for the Surgi Center or anesthesiologist fees. Per Doctor C[redacted] we gavehim the phone numbers to the Surgi Center and to the Montana Dental Association. He saidthank you and hung up the phone. We wrote off the remaining balance on his account per DoctorC[redacted].