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North Heacock Dental Group

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North Heacock Dental Group Reviews (1)

We are in receipt of your complaint *** ***The inadvertent delay was a result of the complaint listing the customer (patient) as *** *** rather than correctly as *** ***Additionally the Doctor addressed in the complaint, *** *** DDS was not her doctor., but rather ***
*** DDSThe Billing records to Cigna insurance on her behalf are attached and reflect the correct information. The complaint listed a purchase price for her crown of $267.25, which is incorrectThe usual and customary price of tier all ceramic substrate Cerec crown is $This is documented in the attached Cigna billing records and correctly billed as our fee. Lets break down the attached Cigna billing record to understand what occurredOur usual fee is noted as $Our Cigna contracted discounted reduced fee is noted as $A $discount is applied So the all-ceramic crown price is now $1090. But Cigna then downgraded her benefit to an all-metal crown on her toothA lesser value crownCigna's price is $for an all-metal crownSo they paid 75% of $rather than 75% of $1090, as anticipated, for her all-ceramic crown placed on ***So Cigna paid $for ***'s all-ceramic crown as if it was an all metal crownThis left *** with a $balance rather than the anticipated pre-estimate of $267.25 This balance of $is listed on the explanation of dental payment as "Customer's responsibility"Please see attached Cigna correspondence with our officeCigna provided this benefit statement to *** under her contractWe are legally bound under contract to charge the patient portion to the patientOtherwise if unknown discounts were being given the insurance company would consider it insurance fraud. We understand that insurance benefits can be confusing for everyone at timesIn simple terms this difference in balance occurred because Cigna didn't pay for all ceramic as anticipated, but rather only paid for an all-metal crown. In the interest of good will in this matter *** *** has been given a courtesy discount to now reflect a $balance on her account*** has been contacted and we understand the matter to be resolved,

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Address: 11401 Heacock Street Suite 320, Moreno Valley, California, United States, 92557-7908

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