Northeast Implant & Oral Surgery, P.C

We received an $payment for the patient in question for her 10/12/date of service However that claim was processed and paid as services rendered for the subscriber instead of his daughter therefore the member is not due money that was paid incorrectly We notified his insurance company of that error and requested for the claim to be reprocessed correctly We were told by the insurance company that the refund request for that incorrect payment was generated but unfortunately never received by our office A call was placed to the subscribers insurance company on 10/19/and we were informed that when a requested refund is not received within the applicable timeframe, an auto-deduct is generated and withdrawn from future insurance payments Sadly, the insurance company’s’ auto-deduct was left in their queue unprocessed, as well as the corrected claim for the dependant The representative stated that she would send in the request to have said auto-deduct and corrected claim processed and that would take up to days Without a clear explanation of whether that auto-deduct would be withdrawn from future claims processed for the subscriber’s family or from a remittance for a different member, we were unable to close this account We sympathize with the subscriber but we are at the mercy of his insurance company and the frustration should be directed at themTwo more calls were placed to his insurance company on 11/7/to find out the progress of their auto-deduct process It wasn’t until after speaking with the second representative in great length that she was able to have the original overpayment request for $faxed to our office That refund request was given to the bookkeeper upon receipt and has since been issued to his insurance company We received and applied the payment from the patients’ secondary insurance company on 10/28/16, which was well over days since the services were rendered The member paid $towards the 7/15/date of service and according to the secondary insurance, had a $financial responsibility His refund of $was issued on 11/9/16, which was twelve days from receipt of the last insurance payment and far less processing time than the insurance payment