In this case we would have not worked in the tooth issue since is going to fall outIt's a baby tooth and there is no sense investing money in something that's going to go away in few monthsHave asked about it and front desk nurse said that was all we have to pay.? ?
See attached documentPediatric [redacted] Center Infants, Children, AdolescentsEric MS***, D.M.DAngelica PW***, D.D.SNorth Bend Road, Ste 102, Burlington, KY TEL 859-534-FAX 859-534-Thomas More Pkwy, Crestview Hills, KY TEL 859-341-FAX 859-341- www.drsopercomRe: ID [redacted] The Pediatric [redacted] Center is aware of the concerns of this fatherI have spoken with him on Several occasions and provided him with all information that he requestedWe were not made aware of any Secondary insurance at the time of the child’s [redacted] visitIt wasn’t until after statements were sent out did we receive information regarding secondary insuranceWe immediately filed the insurance as a Courtesy to our patientThe insurance came back with a zero payment due to not being in network.Dad called and stated that he is not responsible for his daughter's balanceHe stated that he was not the one who signed for the treatmentI acknowledged that to be trueWe have a signature on file by his exwife, Dad requested a copy of the signed treatment and mailed a copy out immediately.Dad gave me mom's address and asked that I send the statement to herHe stated that she is responsible for total balanceI told him during this conversation that I would send her the statement as well as giving her a CallThat is exactly what was done.Mom made payment for half of the balance and said that she is reaching out to Dad to discuss the other portion due to divorce decreeShe is going to contact me after her discussion with him.Because dad carries insurance he is required to be on the accountWe will wait for the response from mom regarding the remaining balanceWe send statements to all Legal guardians that are responsible for the children[redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, [redacted] ***
[A default letter is provided here which indicates your acceptance of the business's response&n**p;If you wish, you may update it before sending it&n**p;If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply&n**p;Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meThank you for your overall understanding and support Regards, [redacted]
In this case we would have not worked in the tooth issue since is going to fall outIt's a baby tooth and there is no sense investing money in something that's going to go away in few monthsHave asked about it and front desk nurse said that was all we have to pay.
See attached documentPediatric *** Center Infants, Children, AdolescentsEric MS***, D.M.DAngelica PW***, D.D.SNorth Bend Road, Ste 102, Burlington, KY TEL 859-534-FAX 859-534-Thomas More Pkwy, Crestview Hills, KY TEL 859-341-FAX 859-341-
www.drsopercomRe: ID ***The Pediatric *** Center is aware of the concerns of this fatherI have spoken with him on Several occasions and provided him with all information that he requestedWe were not made aware of any Secondary insurance at the time of the child’s *** visitIt wasn’t until after statements were sent out did we receive information regarding secondary insuranceWe immediately filed the insurance as a Courtesy to our patientThe insurance came back with a zero payment due to not being in network.Dad called and stated that he is not responsible for his daughter's balanceHe stated that he was not the one who signed for the treatmentI acknowledged that to be trueWe have a signature on file by his exwife, Dad requested a copy of the signed treatment and mailed a copy out immediately.Dad gave me mom's address and asked that I send the statement to herHe stated that she is responsible for total balanceI told him during this conversation that I would send her the statement as well as giving her a CallThat is exactly what was done.Mom made payment for half of the balance and said that she is reaching out to Dad to discuss the other portion due to divorce decreeShe is going to contact me after her discussion with him.Because dad carries insurance he is required to be on the accountWe will wait for the response from mom regarding the remaining balanceWe send statements to all Legal guardians that are responsible for the children.*** *** *** ** *** ***
Revdex.com spoke with business, per conversation with business, *** *** has paid account balance in full on 11/6/Receipt was emailed to her showing balance
(Please see attached) 07/12/2016To whom it may concern:This is in response to a complaint filed by *** ***His son was seen in our office for a routine cleaning and checkup on November 18, At that visit there was some decay discovered on tooth SThe treatment was discussed and Mr
*** was given an ESTIMATE of what his co pay would be at the time of ServiceHe signed paperwork acknowledging the treatmentHe also signed paperwork acknowledging that he is responsible for any balance not covered by insurance.His son did receive treatment on January 4” at which time we collected an ESTIMATED co pay of We Submitted his claim to insurance electronically on the day of treatmentThe claim was paid on January 15, Mr*** has Delta Care insurance which is an insurance that goes directly off of a fee Schedule for the subscriberThe Explanation of Benefits states that the patient portion for services is $A statement was sent out to Mr*** after the insurance payment was applied to the claim.Attached is the paperwork that was signed acknowledging responsibility for unpaid balance and the explanation of benefits from Mr***'s insurance company.We are unable to refund $to Mr*** because that balance was his responsibility per his insurance companyWe adjusted $due to our in network agreement with Delta Care.Please feel free to contact me if you have any other questions regarding this complaint.Best Regards*** ***Practice Administrator
[A default letter is provided here which indicates your acceptance of the business's response&n**p;If you wish, you may update it before sending it&n**p;If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply&n**p;Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThank you for your overall understanding and support
Regards,
*** ***
Revdex.com:?
I
have reviewed the response made by the business in reference to complaint ID
***, and have determined that this does not resolve my complaint
For your reference, details of the offer I reviewed appear belowI
appreciate Pediatric Dental Center's response; however it does not satisfy the
fact that the compliant was not mitigated in the response from themI
currently hold and pay for two insurances, *** ***/*** *** (**/**) and
*** *** for my daughter, *** *** and I had been taking
***, to Pediatric Dental Center for about three years nowIn the past,
they have accepted the secondary insurance because a staffed dentist was within
the *** *** networkMy **/** insurance covers routine treatments, while
the *** is designed to cover any additional "preventative"
proceduresSometime between last year and this year, that specific dentist
retired (Either DrH*** or DrW***)On
3/17/15, *** took *** to Pediatric Dental Center for routine treatment
At some point during the routine procedure, she was given an option to get preventative
treatment, the secretary at Pediatric Dental Center stated thisPrior to
***’s appointment, both *** and the *** office had the insurance
information on file because we had taken *** there beforeAccording to ***,
she presented the *** *** insurance to the secretary at the time of
appointmentShortly
after the appointment, the office sent a bill to *** and from there she
forwarded it to me (This was in April 2015)?I immediately called them
and provided the secondary *** *** insurance, myselfThe business stated
that they didn't accept *** ***, but they would contact the *** ***
insurance anyhowAt that time, I also inquired on why the insurance was no
longer accepted; I was told that the dentist who once accepted the ***
*** had retiredI then asked if *** was informed when she was at the
office for ***’s appointment and the office secretary's reply was that they
had sent out a letter stating that the dentist had retired?I never received
any letter stating as such; therefore neither *** nor myself was informedThe
most expensive treatments conducted my daughter on 3/17/is considered
"preventative" in nature and not emergencyIn the response Pediatric Dental Center mentions a divorce decree, yet they are not in the business of
litigation of divorce settlements, but if they must know the divorce decree
states, “Except in cases where an emergency or other
circumstance prevents same, the parents shall discuss with each other the minor
children’s need for medical procedures before committing to the treatment.” I
made several calls to the office requesting the signed letter from *** that
consents treatment and I finally received it four months later in the mail with
a bill requesting to “Please pay balance in full.”Bottom line and upfront, I am not going to pay for
procedures outside “routine” when I am not consultedWhatever contract or
decision the office and *** decided upon on 3/17/is between themIf
they had decided that day to give *** an unnecessary, new set of braces
without my consent, would they expect me to pay? I didn’t sign the consent
form, so I should not be responsible for treatment that did not gain my
approval prior to treatment.Pediatric Dental Center does not need to await for
*** to call them back, in regards to discussing anything with me because I
am stating now that I will not pay for any preventative treatment that did not
receive my prior consentI pay for secondary insurance for the purpose of
taking care of such procedures for ***.If *** chooses to select a dentist/*** office
out of network from my secondary insurance that is her own choice and her bill-
She signs for consentIf Pediatric Dental Center chooses to not inform
patients of major changes in *** services, then perhaps they should consider
better ethics of informing patients about such major changesI believe that
the *** office should’ve informed *** of the change upon arrival for the
appointmentI attached the consent documents signed by *** and I can also
supply a copy of the divorce decree, if necessary.Again, I am respectfully asking for Pediatric Dental Center to please stop sending me bills and take my name off any mention to these procedures that did not receive my prior consent.Thank you for your time, sir/ma’amRegards,
***
***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
*** ***
In this case we would have not worked in the tooth issue since is going to fall outIt's a baby tooth and there is no sense investing money in something that's going to go away in few monthsHave asked about it and front desk nurse said that was all we have to pay.? ?
See attached documentPediatric [redacted] Center Infants, Children, AdolescentsEric MS***, D.M.DAngelica PW***, D.D.SNorth Bend Road, Ste 102, Burlington, KY TEL 859-534-FAX 859-534-Thomas More Pkwy, Crestview Hills, KY TEL 859-341-FAX 859-341- www.drsopercomRe: ID [redacted] The Pediatric [redacted] Center is aware of the concerns of this fatherI have spoken with him on Several occasions and provided him with all information that he requestedWe were not made aware of any Secondary insurance at the time of the child’s [redacted] visitIt wasn’t until after statements were sent out did we receive information regarding secondary insuranceWe immediately filed the insurance as a Courtesy to our patientThe insurance came back with a zero payment due to not being in network.Dad called and stated that he is not responsible for his daughter's balanceHe stated that he was not the one who signed for the treatmentI acknowledged that to be trueWe have a signature on file by his exwife, Dad requested a copy of the signed treatment and mailed a copy out immediately.Dad gave me mom's address and asked that I send the statement to herHe stated that she is responsible for total balanceI told him during this conversation that I would send her the statement as well as giving her a CallThat is exactly what was done.Mom made payment for half of the balance and said that she is reaching out to Dad to discuss the other portion due to divorce decreeShe is going to contact me after her discussion with him.Because dad carries insurance he is required to be on the accountWe will wait for the response from mom regarding the remaining balanceWe send statements to all Legal guardians that are responsible for the children[redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, [redacted] ***
[A default letter is provided here which indicates your acceptance of the business's response&n**p;If you wish, you may update it before sending it&n**p;If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply&n**p;Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meThank you for your overall understanding and support Regards, [redacted]
In this case we would have not worked in the tooth issue since is going to fall outIt's a baby tooth and there is no sense investing money in something that's going to go away in few monthsHave asked about it and front desk nurse said that was all we have to pay.
See attached documentPediatric *** Center Infants, Children, AdolescentsEric MS***, D.M.DAngelica PW***, D.D.SNorth Bend Road, Ste 102, Burlington, KY TEL 859-534-FAX 859-534-Thomas More Pkwy, Crestview Hills, KY TEL 859-341-FAX 859-341-
www.drsopercomRe: ID ***The Pediatric *** Center is aware of the concerns of this fatherI have spoken with him on Several occasions and provided him with all information that he requestedWe were not made aware of any Secondary insurance at the time of the child’s *** visitIt wasn’t until after statements were sent out did we receive information regarding secondary insuranceWe immediately filed the insurance as a Courtesy to our patientThe insurance came back with a zero payment due to not being in network.Dad called and stated that he is not responsible for his daughter's balanceHe stated that he was not the one who signed for the treatmentI acknowledged that to be trueWe have a signature on file by his exwife, Dad requested a copy of the signed treatment and mailed a copy out immediately.Dad gave me mom's address and asked that I send the statement to herHe stated that she is responsible for total balanceI told him during this conversation that I would send her the statement as well as giving her a CallThat is exactly what was done.Mom made payment for half of the balance and said that she is reaching out to Dad to discuss the other portion due to divorce decreeShe is going to contact me after her discussion with him.Because dad carries insurance he is required to be on the accountWe will wait for the response from mom regarding the remaining balanceWe send statements to all Legal guardians that are responsible for the children.*** *** *** ** *** ***
Revdex.com spoke with business, per conversation with business, *** *** has paid account balance in full on 11/6/Receipt was emailed to her showing balance
(Please see attached) 07/12/2016To whom it may concern:This is in response to a complaint filed by *** ***His son was seen in our office for a routine cleaning and checkup on November 18, At that visit there was some decay discovered on tooth SThe treatment was discussed and Mr
*** was given an ESTIMATE of what his co pay would be at the time of ServiceHe signed paperwork acknowledging the treatmentHe also signed paperwork acknowledging that he is responsible for any balance not covered by insurance.His son did receive treatment on January 4” at which time we collected an ESTIMATED co pay of We Submitted his claim to insurance electronically on the day of treatmentThe claim was paid on January 15, Mr*** has Delta Care insurance which is an insurance that goes directly off of a fee Schedule for the subscriberThe Explanation of Benefits states that the patient portion for services is $A statement was sent out to Mr*** after the insurance payment was applied to the claim.Attached is the paperwork that was signed acknowledging responsibility for unpaid balance and the explanation of benefits from Mr***'s insurance company.We are unable to refund $to Mr*** because that balance was his responsibility per his insurance companyWe adjusted $due to our in network agreement with Delta Care.Please feel free to contact me if you have any other questions regarding this complaint.Best Regards*** ***Practice Administrator
[A default letter is provided here which indicates your acceptance of the business's response&n**p;If you wish, you may update it before sending it&n**p;If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply&n**p;Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThank you for your overall understanding and support
Regards,
*** ***
Revdex.com:?
I
have reviewed the response made by the business in reference to complaint ID
***, and have determined that this does not resolve my complaint
For your reference, details of the offer I reviewed appear belowI
appreciate Pediatric Dental Center's response; however it does not satisfy the
fact that the compliant was not mitigated in the response from themI
currently hold and pay for two insurances, *** ***/*** *** (**/**) and
*** *** for my daughter, *** *** and I had been taking
***, to Pediatric Dental Center for about three years nowIn the past,
they have accepted the secondary insurance because a staffed dentist was within
the *** *** networkMy **/** insurance covers routine treatments, while
the *** is designed to cover any additional "preventative"
proceduresSometime between last year and this year, that specific dentist
retired (Either DrH*** or DrW***)On
3/17/15, *** took *** to Pediatric Dental Center for routine treatment
At some point during the routine procedure, she was given an option to get preventative
treatment, the secretary at Pediatric Dental Center stated thisPrior to
***’s appointment, both *** and the *** office had the insurance
information on file because we had taken *** there beforeAccording to ***,
she presented the *** *** insurance to the secretary at the time of
appointmentShortly
after the appointment, the office sent a bill to *** and from there she
forwarded it to me (This was in April 2015)?I immediately called them
and provided the secondary *** *** insurance, myselfThe business stated
that they didn't accept *** ***, but they would contact the *** ***
insurance anyhowAt that time, I also inquired on why the insurance was no
longer accepted; I was told that the dentist who once accepted the ***
*** had retiredI then asked if *** was informed when she was at the
office for ***’s appointment and the office secretary's reply was that they
had sent out a letter stating that the dentist had retired?I never received
any letter stating as such; therefore neither *** nor myself was informedThe
most expensive treatments conducted my daughter on 3/17/is considered
"preventative" in nature and not emergencyIn the response Pediatric Dental Center mentions a divorce decree, yet they are not in the business of
litigation of divorce settlements, but if they must know the divorce decree
states, “Except in cases where an emergency or other
circumstance prevents same, the parents shall discuss with each other the minor
children’s need for medical procedures before committing to the treatment.” I
made several calls to the office requesting the signed letter from *** that
consents treatment and I finally received it four months later in the mail with
a bill requesting to “Please pay balance in full.”Bottom line and upfront, I am not going to pay for
procedures outside “routine” when I am not consultedWhatever contract or
decision the office and *** decided upon on 3/17/is between themIf
they had decided that day to give *** an unnecessary, new set of braces
without my consent, would they expect me to pay? I didn’t sign the consent
form, so I should not be responsible for treatment that did not gain my
approval prior to treatment.Pediatric Dental Center does not need to await for
*** to call them back, in regards to discussing anything with me because I
am stating now that I will not pay for any preventative treatment that did not
receive my prior consentI pay for secondary insurance for the purpose of
taking care of such procedures for ***.If *** chooses to select a dentist/*** office
out of network from my secondary insurance that is her own choice and her bill-
She signs for consentIf Pediatric Dental Center chooses to not inform
patients of major changes in *** services, then perhaps they should consider
better ethics of informing patients about such major changesI believe that
the *** office should’ve informed *** of the change upon arrival for the
appointmentI attached the consent documents signed by *** and I can also
supply a copy of the divorce decree, if necessary.Again, I am respectfully asking for Pediatric Dental Center to please stop sending me bills and take my name off any mention to these procedures that did not receive my prior consent.Thank you for your time, sir/ma’amRegards,
***
***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
*** ***