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 me I was thankful that [redacted] in the Billing Dept did make every effort to express her apologies for my billing issuesThe dental office did make a quick response and effort to resolve my defund and audit concern with business dayI was not upset with their efforts and scheduled myself and my daughter for dental work following my complaintI knew that this issue would be resolved timely once the right person got a chance to review the payment recordsI'm glad this complaint is noted but assures other customers that this dental office is Satisfactory to me Regards, [redacted]
Complaint: [redacted] I am rejecting this response because: Why would I want to deal with this business any further? Also, why was this procedure completed before it was approved by my insurance company? Why did they tell me they were in my network? What are they offering? They have my x-rays on hand and Inited Concordia has x-rays that are not acceptableBlurryif needed I can get a second in writing from la Cantera DentalThey currently have the same X-rays provided from to Regards, [redacted]
Mrs [redacted] , A secondary audit of his entire account was completed to address this disputeThe findings are listed below: · Patient does not have a credit on his accountIf fact after each EOB (Explanation of Benefits) from [redacted] was reviewed, his payment responsibility should have been an additional $· Patient received a $discount for the two crowns completed back in July · His dental insurance delayed payment for one of his crowns for monthsDue to this delay his dental insurance representative(s) could only provide inaccurate information when he contacted them with benefit questions· Our office is In-Network with [redacted] Insurance so his patient portion is determined by his insurance plan not by our office· His dental insurance actually processed multiple claims for his services as Out-of-Network by mistake· [redacted] already sent letter to request a refund for a $overpaymentThe letter contained an apology from his insurance company for the incorrect payment as well as for any inconvenience they caused· Our office expects a few additional letters from [redacted] to correct the overpayment issues they caused with this patientIn conclusion he saved $for all the treatment he completed in our officeHis current account balance is zeroOur office has a contractual obligation to refund [redacted] Insurance not the patient for any overpaymentsOur company strives to deliver an exemplary patient experience clinically and administrativelyUnfortunately, our efforts to best meet the patient's needs were not matched by the insurance company in this particular case.Regards, [redacted] Chief Operations Officer Billing Department [redacted] [redacted]
Complaint: [redacted] I am rejecting this response because:The last appointment I had with to Dental on 7/28/is not addressedI went in for an exam on 7/26/and was told I needed three fillingsA billing rep, Mr [redacted] - [redacted] came into the exam room and Said my co-pay for the fillings would be $ I said that I thought this Of high He replied that they could do it for $ I said that would be OK but I would have to pay the $later on He said that they would Just charge me the $ I gave him my Care Credit card and he Billed it for $ When he came back I asked why the co-pay was so high and he said that I had almost depleted my available funds with [redacted] After I got home I called [redacted] and they said that there Was at least $of funds available to me I waited for [redacted] to send me the Explanation of Benefits for the fillings When I got the EOB I found That my share or co-pay was only $See figure which is the treatment plan saying that my Pre-Payment was See figure which is a copy of Care Card being charged $See figure which is a copy of the EOB I contacted a managerl at the Potranco office of to and made an Appointment to see her I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me I went home and made another apt with her She did meet With me and said she would look into it I later received a call from her Saying they audited my account found they owed me $But they Were waiting on until the claim mentioned in this letter arrivedThen they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything I contacted a Ms [redacted] at the Potranco office of to and made an Appointment to see her I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me I went home and made another apt with her She did meet With me and said she would look into it I later received a call from her Saying they audited my account found they owed me $But they Were waiting on until the claim mentioned in this letter arrivedThen they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything Regards, [redacted]
Complaint: [redacted] I am rejecting this response because: I was told the first day I called about the refund that I should receive a check in the mail within 5-business daysAfter weeks I and no chexk, I found out the request wasn't even processedI was not told the refund process was weeksI was actually promised it would be mailed out the "next day" each time I calledI finally got the check issued after I filed this complaint with Revdex.comThe one person who had to sign the check was never in the office everytime I called, that was the hold up apoarebtlyI finally was able to speak to her the day after the complaintUpsetting that I had to file with Revdex.com to get a resolution that could have been easily taken care of in a timely mannerI did receive my refund check Regards, [redacted]
We are open to any communication from Mr [redacted] , regarding is concerns with the treatment completed at our officeMr [redacted] is free to submit the x-rays and clinical notes from the second opinion for review to: [redacted] Also our Chief Clinical Officer is available to receive direct communication at: ( [redacted] from the dentist that completed his second opinion to discuss his/her clinical findingsUnfortunately, privacy restrictions preclude a more detail addressing of his concerns of this case in a public forum
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 me I was thankful that [redacted] in the Billing Dept did make every effort to express her apologies for my billing issuesThe dental office did make a quick response and effort to resolve my defund and audit concern with business dayI was not upset with their efforts and scheduled myself and my daughter for dental work following my complaintI knew that this issue would be resolved timely once the right person got a chance to review the payment recordsI'm glad this complaint is noted but assures other customers that this dental office is Satisfactory to me Regards, [redacted]
Complaint: [redacted] I am rejecting this response because: Why would I want to deal with this business any further? Also, why was this procedure completed before it was approved by my insurance company? Why did they tell me they were in my network? What are they offering? They have my x-rays on hand and Inited Concordia has x-rays that are not acceptableBlurryif needed I can get a second in writing from la Cantera DentalThey currently have the same X-rays provided from to Regards, [redacted]
Mrs [redacted] , A secondary audit of his entire account was completed to address this disputeThe findings are listed below: · Patient does not have a credit on his accountIf fact after each EOB (Explanation of Benefits) from [redacted] was reviewed, his payment responsibility should have been an additional $· Patient received a $discount for the two crowns completed back in July · His dental insurance delayed payment for one of his crowns for monthsDue to this delay his dental insurance representative(s) could only provide inaccurate information when he contacted them with benefit questions· Our office is In-Network with [redacted] Insurance so his patient portion is determined by his insurance plan not by our office· His dental insurance actually processed multiple claims for his services as Out-of-Network by mistake· [redacted] already sent letter to request a refund for a $overpaymentThe letter contained an apology from his insurance company for the incorrect payment as well as for any inconvenience they caused· Our office expects a few additional letters from [redacted] to correct the overpayment issues they caused with this patientIn conclusion he saved $for all the treatment he completed in our officeHis current account balance is zeroOur office has a contractual obligation to refund [redacted] Insurance not the patient for any overpaymentsOur company strives to deliver an exemplary patient experience clinically and administrativelyUnfortunately, our efforts to best meet the patient's needs were not matched by the insurance company in this particular case.Regards, [redacted] Chief Operations Officer Billing Department [redacted] [redacted]
Complaint: [redacted] I am rejecting this response because:The last appointment I had with to Dental on 7/28/is not addressedI went in for an exam on 7/26/and was told I needed three fillingsA billing rep, Mr [redacted] - [redacted] came into the exam room and Said my co-pay for the fillings would be $ I said that I thought this Of high He replied that they could do it for $ I said that would be OK but I would have to pay the $later on He said that they would Just charge me the $ I gave him my Care Credit card and he Billed it for $ When he came back I asked why the co-pay was so high and he said that I had almost depleted my available funds with [redacted] After I got home I called [redacted] and they said that there Was at least $of funds available to me I waited for [redacted] to send me the Explanation of Benefits for the fillings When I got the EOB I found That my share or co-pay was only $See figure which is the treatment plan saying that my Pre-Payment was See figure which is a copy of Care Card being charged $See figure which is a copy of the EOB I contacted a managerl at the Potranco office of to and made an Appointment to see her I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me I went home and made another apt with her She did meet With me and said she would look into it I later received a call from her Saying they audited my account found they owed me $But they Were waiting on until the claim mentioned in this letter arrivedThen they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything I contacted a Ms [redacted] at the Potranco office of to and made an Appointment to see her I got there at nine am for the apt and waited for A half hour and was told she was stuck in traffic and would not be able to Meet with me I went home and made another apt with her She did meet With me and said she would look into it I later received a call from her Saying they audited my account found they owed me $But they Were waiting on until the claim mentioned in this letter arrivedThen they said they had "reprocessed" a claim from a year earlier Then they called and said they didn't owe me anything Regards, [redacted]
Complaint: [redacted] I am rejecting this response because: I was told the first day I called about the refund that I should receive a check in the mail within 5-business daysAfter weeks I and no chexk, I found out the request wasn't even processedI was not told the refund process was weeksI was actually promised it would be mailed out the "next day" each time I calledI finally got the check issued after I filed this complaint with Revdex.comThe one person who had to sign the check was never in the office everytime I called, that was the hold up apoarebtlyI finally was able to speak to her the day after the complaintUpsetting that I had to file with Revdex.com to get a resolution that could have been easily taken care of in a timely mannerI did receive my refund check Regards, [redacted]
We are open to any communication from Mr [redacted] , regarding is concerns with the treatment completed at our officeMr [redacted] is free to submit the x-rays and clinical notes from the second opinion for review to: [redacted] Also our Chief Clinical Officer is available to receive direct communication at: ( [redacted] from the dentist that completed his second opinion to discuss his/her clinical findingsUnfortunately, privacy restrictions preclude a more detail addressing of his concerns of this case in a public forum