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NL Estate Sales Reviews (10)

On 08/19/we made a call to [redacted] clarifying in further detail our policies and his insurance coverage [redacted] and our practice came to the agreement that we would write off $and patient would only pay $out of the original balance of $1,It was also agreed that [redacted] would remove the Revdex.com complaint made towards our practiceAs of this time we have settled our dispute

Dear Revdex.com Representative, We would like to take a moment to make our office wide insurance policies clearDentiq Dentistry accepts all dental PPO insurance policiesThis means that we will file all insurance claims for the patientThat being said, Dentiq Dentistry is considered an out of network provider for all insurance companies other than Delta Dental and [redacted] Total DPPOWe are a private, fee for service provider and do not have a contractual agreement with any company other than Delta Dental and [redacted] Total DPPOPlease keep in mind that the patients coverage is a contract between them and their insurance company and they will be responsible for any portion that their insurance company fails to payDentiq Dentistry is happy to help in any way we can relating to insurance and have a team of experts dedicated to taking care of all our patients insurance needs After reviewing all of the information that was sent over from the patient, it seems that the patient should be trying to work this out with his insurance company We base all of our estimates on percentages that the insurance company gives us at the time that we verify the insuranceAfter we verify the insurance, we include insurance estimates for the patientAll of the information that we have is directly from the insurance company, but they reduce the rates and/or deny coverage at their own willThere is not anything that we can do to prevent this from happeningWe understand that when one is in the midst of being treated for a dental need, it is easy to forget that we are not only a health care office, but also a businessOur goal is to always take great care of our patients and provide the best possible treatment for the patientThis is one of the reasons that we are not in network with many insurance companies as they tend to dictate the type of treatment the patient receives and whenAt Dentiq, we believe the Doctors and clinicians that have a relationship with the patient should determine the best possible treatment for each patient as an individual; not an insurance administrator It is frustrating for the patient as well as our office personnel when the insurance companies do not pay their full estimation, but it is beyond our control We still stand by our work and services provided to the patient and do not believe that a refund is fair and / or reasonable Please let us know how we should move forward with this complaint based on the information that has been provided, or if any additional information is needed.Best, Dentiq Dentistry

On December 23, this patient came into our office for a routine cleaning and check upAt this visit, the patient was prescribed that he needed fillings and scaling and root planingAt this visit, he was also presented a treatment plan that included an estimate of his portion and the portion that his insurance company will payThe treatment plans at Dentiq clearly state that all insurance portions are estimatesWe also told the patient that if he completed the treatment before the year ends, he can still use his benefits before they expireThe patient consented and completed the treatment on December 29, On February 20, the patient called our office very upset demanding a refund in the amount of $He informed our office staff that he called his insurance company, ***, and was told that we became an in network provider as of January 1st, The insurance company also told the patient that if he would have waited until after January 1st, his out of pocket cost for the services rendered would have been $as opposed to $Our insurance coordinator advised the patient that we are in network with only [redacted] Total DPPO plan and that he does not participate in this planWe joined this plan on June 1, and have remained in network with this plan to date [redacted] internally changed the name of the plan in 2015, but it did not change our status, and we believe this is where the miscommunication with their insurance representative began Our insurance coordinator then called [redacted] Insurance Company directly and requested to speak with a supervisorDuring this conversation, the supervisor told our staff that the representative the patient spoke to gave him the wrong information and told him that we were in network with his plan Our staff asked the supervisor at [redacted] to give the patient a phone call and apologize for the miscommunication, and make the information clear to the patient that we are not, nor have never been, in network with his specific [redacted] insurance plan Due to the misinformation that was given to the patient by ***, the patient was under the impression that we advised him to complete the treatment before year end because we knew that as of January we would be in networkThis is not true and to this day, Dentiq Dentistry is not in network with his planThe only [redacted] insurance plan that we are in network with is [redacted] Total DPPOWe have been caring for this patient since and have not had any conflict with him in this time to dateAdditionally, we have been filing his insurance claims without issue since to his [redacted] planIt is our goal to resolve this issue with him and clear the air to help him understand the situation

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint It appears that Dentiq is trying to hide behind insurance language that was never explained to me and from reading reviews on-line has never been explained to several of their former patientsEven though they will not work with me on this issue I would like for my complaint to stay active with the Revdex.com so other unsuspecting victims can have an idea of what to ask and expect if they choose this company for their dental needs, I will personally be looking for a new dentist myself based on the shabby treatment I have received.Again, here is a synopsis of the facts from my perspective:I went in for a routine cleaning at the end of last yearThe dentist found some other issues they said needed to be addressedTheir "team of experts dedicated to taking care of my insurance needs" (their words from their response) said they checked with my insurance carrier and I would be able to save money and take advantage of yearly amounts if I had the work done before year endTheir "dedicated insurance experts" provided me with an estimate of the cost after discussing with my insurance carrier and never suggested I personally contact my insurance carrier to confirm the cost I would be responsible forBased on the estimate, I allowed them to do the work without getting a second opinionOnce the was done I was billed several hundred dollars more than the estimateIn the spirit of good faith, I paid the additional amount fully expecting reasonable and fair treatment by Dentiq when I disputed the amount since I have been a long time customerDentiq is now hiding behind a lot of insurance language they never explained to me during the many years I was their customerShame on Dentiq.Regards,*** ***

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me

Thanks for taking the time to give us more information about this dispute processWe feel like we have explained our policies to the patient in great detail and that we are at a standstillWe do not know what to do or how to move forward at this point

On 08/19/2015 we made a call to [redacted] clarifying in further detail our policies and his insurance coverage. [redacted] and our practice came to the agreement that we would write off $833.50 and patient would only pay $312.50 out of the original balance of $1,146. It was also agreed that...

[redacted] would remove the Revdex.com complaint made towards our practice. As of this time we have settled our dispute.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  Sent: Monday, April 27, 2015 9:31 AM To: drteam Subject: ID [redacted]; Claim against Dentiq Dentistry Dear Revdex.com representative,I apologize for not responding earlier regarding the response received from Dentiq Dentistry regarding my complaint.  I have reviewed their response and offer the following:It has become apparent that I get a different answer regarding insurance benefits depending on who I speak with. Dentiq asserts that [redacted] advised them that their representative gave me incorrect information regarding my coverage and that a [redacted] representative was asked to call me and clear up the miscommunication I have yet to receive a call from [redacted].  However, assuming that [redacted] did provide me with incorrect information I still have an issue with the amount I was required to pay. I understand that the treatment plan included an estimate of $164 for my share of the treatment. What I do not understand is how a reputable dentist who deals with insurance companies all the time can miss an estimate by over 300%. Dentiq missed the estimate by $366 which they required me to pay. This appears to border on deceptive trade practices using the word "estimate" as some sort of protection for them. Where is the protection for the customer who expects the estimate to be reasonable? Had Dentiq originally told me I would owe $530 I may have gotten a second opinion but they did not advise me of that and took away my option.  In fact the only time I was made aware from Dentiq that they were out of my network wad in their response to my complaint,I still assert that a refund is due.Thank you,[redacted]

Dear
Revdex.com Representative,
We
would like to take a moment to make our office wide insurance policies clear. Dentiq
Dentistry accepts all dental PPO insurance policies. This means that we will
file all insurance claims for the patient. That being said, Dentiq Dentistry is
considered an out of network provider for all insurance companies other than
Delta Dental and [redacted] Total DPPO. We are a private, fee for service provider
and do not have a contractual agreement with any company other than Delta
Dental and [redacted] Total DPPO. Please keep in mind that the patients coverage is
a contract between them and their insurance company and they will be
responsible for any portion that their insurance company fails to pay. Dentiq
Dentistry is happy to help in any way we can relating to insurance and have a
team of experts dedicated to taking care of all our patients insurance needs.
After
reviewing all of the information that was sent over from the patient, it seems
that the patient should be trying to work this out with his insurance company.
We base all of our estimates on percentages that the insurance company gives us
at the time that we verify the insurance. After we verify the insurance, we
include insurance estimates for the patient. All of the information that we
have is directly from the insurance company, but they reduce the rates and/or
deny coverage at their own will. There is not anything that we can do to
prevent this from happening. We
understand that when one is in the midst of being treated for a dental need, it
is easy to forget that we are not only a health care office, but also a
business. Our goal is to always take great care of our patients and provide the
best possible treatment for the patient. This is one of the reasons that we are
not in network with many insurance companies as they tend to dictate the type
of treatment the patient receives and when. At Dentiq, we believe the Doctors
and clinicians that have a relationship with the patient should determine the
best possible treatment for each patient as an individual; not an insurance
administrator.  It is frustrating for the
patient as well as our office personnel when the insurance companies do not pay their
full estimation, but it is beyond our control.
We
still stand by our work and services provided to the patient and do not believe
that a refund is fair and / or reasonable. 
Please let us know how we should move forward with this complaint based
on the information that has been provided, or if any additional information is
needed.Best, Dentiq Dentistry

On December 23, 2014 this patient came into our office for a
routine cleaning and check up. At this visit, the patient was prescribed that
he needed 3 fillings and scaling and root planing. At this visit, he was also
presented a treatment plan that included an estimate of his portion and...

the
portion that his insurance company will pay. The treatment plans at Dentiq
clearly state that all insurance portions are estimates. We also told the
patient that if he completed the treatment before the year ends, he can still
use his 2014 benefits before they expire. The patient consented and completed
the treatment on December 29, 2014.
On February 20, 2015 the patient called our office very
upset demanding a refund in the amount of $480. He informed our office staff
that he called his insurance company, [redacted], and was told that we became an in
network provider as of January 1st, 2015. The insurance company also
told the patient that if he would have waited until after January 1st,
his out of pocket cost for the services rendered would have been $50 as opposed
to $530. Our insurance coordinator advised the patient that we are in network
with only [redacted] Total DPPO plan and that he does not participate in this plan. We
joined this plan on June 1, 2013 and have remained in network with this plan to
date. [redacted] internally changed the name of the plan in 2015, but it did not
change our status, and we believe this is where the miscommunication with their
insurance representative began.
Our insurance coordinator then called [redacted] Insurance Company
directly and requested to speak with a supervisor. During this conversation,
the supervisor told our staff that the representative the patient spoke to gave
him the wrong information and told him that we were in network with his plan.
Our staff asked the supervisor at [redacted] to give the patient a phone call and
apologize for the miscommunication, and make the information clear to the
patient that we are not, nor have never been, in network with his specific [redacted]
insurance plan.
Due to the misinformation that was given to the patient by
[redacted], the patient was under the false impression that we advised him to
complete the treatment before year end because we knew that as of January 1 we
would be in network. This is not true and to this day, Dentiq Dentistry is not
in network with his plan. The only [redacted] insurance plan that we are in network
with is [redacted] Total DPPO. We have been caring for this patient since 1998 and
have not had any conflict with him in this time to date. Additionally, we have
been filing his insurance claims without issue since 2008 to his [redacted] plan. It
is our goal to resolve this issue with him and clear the air to help him
understand the situation.

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