Patient [redacted] (I.D# [redacted] ) came into our office on 10/17/2014, in this visit we recommended dental treatment including fillings, crowns, extractions & partialsWe mentioned to the member that services "would" be covered at 100% under the existing plan however her inscoverage changed in the beginning of 2015, this is why she ended up with cost's for her dental treatmentMember had fillings done on 1/28/for teeth #& #at this time we were unaware of the insurance changes, so we had not charged member for these servicesOn 02/23/we got notification from insthat coverage had changed and patient had copayments for tx nowWe then Called the member and informed her of this but she still wanted to schedule another appt., we also tried collecting the past due amount for the fillings that were done on 1/28/but member said to bill her for the servicesWe told her we needed to collect the amount before seeing her and started yelling and screaming with foul wordsAt this point in time we decided to dismiss member from the practice *Fillings were at a cost of $, crowns at $& partials at $each If there is to be any other questions or concerns in regards to this patient, please let us know thank you
I have enclosed a copy of *** Chart notes and ledger.I have marked area's for you to refer too although please read whole chartThe DDS that diagnosed her was *** ***, DDS (female), but *** ***, DDS did the crown prepThen *** *** DDS, on 1-29-see told
her we have to probably this crown prep for now it is broken down further (we could have charged her for the lab needs to remake the crown)Now she wants it extracted The cost for the crown on #(front tooth) is very low, $which she only paid a deposit of $Her MediCal plan pays $on crowns so we try to keep cost lowThis is on her ledger attached I have also attached the informed consent for her crown which she signed.We document everything when it comes to patients and she never filed a complaint with her MediCal plan, Liberty/Health Net for they would have contacted us first Please let me know if there is anything else. *** ** ***Hayashi Dental Group***Office ~ ***
Patient [redacted] (I.D# [redacted]) came into our office on 10/17/2014, in this visit we recommended dental treatment including fillings, crowns, extractions & partials. We mentioned to the member that services "would"...
be covered at 100% under the existing plan however her ins. coverage changed in the beginning of 2015, this is why she ended up with cost's for her dental treatment. Member had fillings done on 1/28/2015 for teeth #13 & #14 at this time we were unaware of the insurance changes, so we had not charged member for these services. On 02/23/2015 we got notification from ins. that coverage had changed and patient had copayments for tx now. We then Called the member and informed her of this but she still wanted to schedule another appt., we also tried collecting the past due amount for the fillings that were done on 1/28/2015 but member said to bill her for the services. We told her we needed to collect the amount before seeing her and started yelling and screaming with foul words. At this point in time we decided to dismiss member from the practice.
*Fillings were at a cost of $60 , crowns at $185 & partials at $210 each.
If there is to be any other questions or concerns in regards to this patient, please let us know thank you.
Patient [redacted] (I.D# [redacted] ) came into our office on 10/17/2014, in this visit we recommended dental treatment including fillings, crowns, extractions & partialsWe mentioned to the member that services "would" be covered at 100% under the existing plan however her inscoverage changed in the beginning of 2015, this is why she ended up with cost's for her dental treatmentMember had fillings done on 1/28/for teeth #& #at this time we were unaware of the insurance changes, so we had not charged member for these servicesOn 02/23/we got notification from insthat coverage had changed and patient had copayments for tx nowWe then Called the member and informed her of this but she still wanted to schedule another appt., we also tried collecting the past due amount for the fillings that were done on 1/28/but member said to bill her for the servicesWe told her we needed to collect the amount before seeing her and started yelling and screaming with foul wordsAt this point in time we decided to dismiss member from the practice *Fillings were at a cost of $, crowns at $& partials at $each If there is to be any other questions or concerns in regards to this patient, please let us know thank you
I have enclosed a copy of *** Chart notes and ledger.I have marked area's for you to refer too although please read whole chartThe DDS that diagnosed her was *** ***, DDS (female), but *** ***, DDS did the crown prepThen *** *** DDS, on 1-29-see told
her we have to probably this crown prep for now it is broken down further (we could have charged her for the lab needs to remake the crown)Now she wants it extracted The cost for the crown on #(front tooth) is very low, $which she only paid a deposit of $Her MediCal plan pays $on crowns so we try to keep cost lowThis is on her ledger attached I have also attached the informed consent for her crown which she signed.We document everything when it comes to patients and she never filed a complaint with her MediCal plan, Liberty/Health Net for they would have contacted us first Please let me know if there is anything else. *** ** ***Hayashi Dental Group***Office ~ ***
Patient [redacted] (I.D# [redacted]) came into our office on 10/17/2014, in this visit we recommended dental treatment including fillings, crowns, extractions & partials. We mentioned to the member that services "would"...
be covered at 100% under the existing plan however her ins. coverage changed in the beginning of 2015, this is why she ended up with cost's for her dental treatment. Member had fillings done on 1/28/2015 for teeth #13 & #14 at this time we were unaware of the insurance changes, so we had not charged member for these services. On 02/23/2015 we got notification from ins. that coverage had changed and patient had copayments for tx now. We then Called the member and informed her of this but she still wanted to schedule another appt., we also tried collecting the past due amount for the fillings that were done on 1/28/2015 but member said to bill her for the services. We told her we needed to collect the amount before seeing her and started yelling and screaming with foul words. At this point in time we decided to dismiss member from the practice.
*Fillings were at a cost of $60 , crowns at $185 & partials at $210 each.
If there is to be any other questions or concerns in regards to this patient, please let us know thank you.