To Whom It May Concern:In responding to the rejection letter received, I have attached of a copy of the "statement" of account reflecting both Mrand MrsK to help with dates, payments and treatment renderedAs mentioned in the initial response letter, patient payment was made after the insurance was received for both Mr and Mrs first visits (Feb 2015) to out officeWe are in agreement that no payment was made at their initial visit with us Additional charges incurred for Mrs K services rendered on March 3, 2015, which is where the disputed balance stems fromThere apparently was a miscommunication/ misinterpretation by both parties on the payment she was making and the balance remaining when she left the office that dateAs you can see on the statement attached, there were no new or additional charges ever added to the account, only those services that were renderedServices were covered by insurance and the (insurance) did not pay according to their fee schedule and plan, which was less than we could estimateSince we are not contracted with the insurance company and remaining balance is that of the member Oaks Dental does not feel anything was handles unfair or unethicallyWe are saddened that they feel different and that we could not resolve the issue with them in personThanks, ***Practice Manager
Complaint: [redacted] I am rejecting this response because:If I read the last response correctly, oaks is acknowledging that an additional balanced was added to the Knight bill after already acknowledging that the bill had been paid in fulloaks has noted that this additional balance was not the result of additional service, but the result of the insurance company declining to pay some amountIf this is indeed the case, why were the Knights ever told that the there was no balance remainingoaks wad misleading at best and dishonest at worstIn either scenario, it appears clear to me that oaks ought to shoulder at least some portion of the responsibility for this discrepancy and sharing of misinformation Regards, [redacted]
To Whom It May Concern: In responding to the rejection letter received, I have attached of a copy of the "statement" of account reflecting both Mrand MrsK to help with dates, payments and treatment renderedAs mentioned in the initial response letter, patient payment was made after the insurance was received for both Mr and Mrs first visits (Feb 2015) to out officeWe are in agreement that no payment was made at their initial visit with us Additional charges incurred for Mrs K services rendered on March 3, 2015, which is where the disputed balance stems fromThere apparently was a miscommunication/ misinterpretation by both parties on the payment she was making and the balance remaining when she left the office that dateAs you can see on the statement attached, there were no new or additional charges ever added to the account, only those services that were renderedServices were covered by insurance and the (insurance) did not pay according to their fee schedule and plan, which was less than we could estimateSince we are not contracted with the insurance company and remaining balance is that of the member Oaks Dental does not feel anything was handles unfair or unethicallyWe are saddened that they feel different and that we could not resolve the issue with them in person Thanks, ***Practice Manager
September 18th, To Whom It May Concern; This response is in reference to the complaint letter we received from your ID [redacted] We are sorry to hear that MrK was upset about his experience here in our officeBoth he and his wife are fairly new patients to our practice, we make sure to inform all new patients (especially those having dental insurance) that we are not contracted with any insurance companies and are considered out of networkTherefore, any charges are bot covered by insurance will be the responsibility of the patientWe do file and accept assignment as a courtesy to our patients After both their initial visits with us, there was a remaining balance due in the account once all insurance had been receivedMr K did make a payment for that balance and at that time the account balance was then zeroOn that same date (March 3rd) MrK's wife came in for additional treatmentShe had some restorative treatment (fillings) performedThose procedures were filled with insurance and again balance was remaining once insurance paid their portionA statement of account was sent following payment from insurance showing remaining unpaid balance due MrsK did call on May 26th and asked why there was a balance remaining on the account, at which time our business assistant explained the difference between the fees charged and amount insurance had paidShe was taken back by how little the insurance had paid and how much was still remainingWe did offer to make financial arrangements with her for the remaining balance, if that would be more comfortable for herShe replied, she felt there should be some type of discountWe again explained how we are not contracted with the insurance company so we do not accept their fee scheduleOur business assistant offered to talk with the office manager (upon her return from vacation) about any discountOn June 1st our business assistant returned a call to MrsK and left her a message informing her we would be willing to work out payment arrangements, but could not offer a discount, since we are a fee for service practiceMrsK did call and cancel her upcoming appointment-stating that she would be seeing a network provider, but did not mention balanceTwo more statements were mailed in the following months, to which no response was receivedA letter of concern was then mailed which prompted Mr K to call with payment and his concerns We do not feel a refund can be provided, as patient was informed of all fees prior to accepting any treatmentInsurance is a contract between the patient and the insurance company, being out of network we are not bound to their fee schedule or limitationsWe will be happy to forward all xrays and records to a dentist of their choice, should they wish to see someone else Sincerely, [redacted] Practice Manager
To Whom It May Concern:In responding to the rejection letter received, I have attached of a copy of the "statement" of account reflecting both Mrand MrsK to help with dates, payments and treatment renderedAs mentioned in the initial response letter, patient payment was made after the insurance was received for both Mr and Mrs first visits (Feb 2015) to out officeWe are in agreement that no payment was made at their initial visit with us Additional charges incurred for Mrs K services rendered on March 3, 2015, which is where the disputed balance stems fromThere apparently was a miscommunication/ misinterpretation by both parties on the payment she was making and the balance remaining when she left the office that dateAs you can see on the statement attached, there were no new or additional charges ever added to the account, only those services that were renderedServices were covered by insurance and the (insurance) did not pay according to their fee schedule and plan, which was less than we could estimateSince we are not contracted with the insurance company and remaining balance is that of the member Oaks Dental does not feel anything was handles unfair or unethicallyWe are saddened that they feel different and that we could not resolve the issue with them in personThanks, ***Practice Manager
Complaint: [redacted] I am rejecting this response because:If I read the last response correctly, oaks is acknowledging that an additional balanced was added to the Knight bill after already acknowledging that the bill had been paid in fulloaks has noted that this additional balance was not the result of additional service, but the result of the insurance company declining to pay some amountIf this is indeed the case, why were the Knights ever told that the there was no balance remainingoaks wad misleading at best and dishonest at worstIn either scenario, it appears clear to me that oaks ought to shoulder at least some portion of the responsibility for this discrepancy and sharing of misinformation Regards, [redacted]
To Whom It May Concern: In responding to the rejection letter received, I have attached of a copy of the "statement" of account reflecting both Mrand MrsK to help with dates, payments and treatment renderedAs mentioned in the initial response letter, patient payment was made after the insurance was received for both Mr and Mrs first visits (Feb 2015) to out officeWe are in agreement that no payment was made at their initial visit with us Additional charges incurred for Mrs K services rendered on March 3, 2015, which is where the disputed balance stems fromThere apparently was a miscommunication/ misinterpretation by both parties on the payment she was making and the balance remaining when she left the office that dateAs you can see on the statement attached, there were no new or additional charges ever added to the account, only those services that were renderedServices were covered by insurance and the (insurance) did not pay according to their fee schedule and plan, which was less than we could estimateSince we are not contracted with the insurance company and remaining balance is that of the member Oaks Dental does not feel anything was handles unfair or unethicallyWe are saddened that they feel different and that we could not resolve the issue with them in person Thanks, ***Practice Manager
September 18th, To Whom It May Concern; This response is in reference to the complaint letter we received from your ID [redacted] We are sorry to hear that MrK was upset about his experience here in our officeBoth he and his wife are fairly new patients to our practice, we make sure to inform all new patients (especially those having dental insurance) that we are not contracted with any insurance companies and are considered out of networkTherefore, any charges are bot covered by insurance will be the responsibility of the patientWe do file and accept assignment as a courtesy to our patients After both their initial visits with us, there was a remaining balance due in the account once all insurance had been receivedMr K did make a payment for that balance and at that time the account balance was then zeroOn that same date (March 3rd) MrK's wife came in for additional treatmentShe had some restorative treatment (fillings) performedThose procedures were filled with insurance and again balance was remaining once insurance paid their portionA statement of account was sent following payment from insurance showing remaining unpaid balance due MrsK did call on May 26th and asked why there was a balance remaining on the account, at which time our business assistant explained the difference between the fees charged and amount insurance had paidShe was taken back by how little the insurance had paid and how much was still remainingWe did offer to make financial arrangements with her for the remaining balance, if that would be more comfortable for herShe replied, she felt there should be some type of discountWe again explained how we are not contracted with the insurance company so we do not accept their fee scheduleOur business assistant offered to talk with the office manager (upon her return from vacation) about any discountOn June 1st our business assistant returned a call to MrsK and left her a message informing her we would be willing to work out payment arrangements, but could not offer a discount, since we are a fee for service practiceMrsK did call and cancel her upcoming appointment-stating that she would be seeing a network provider, but did not mention balanceTwo more statements were mailed in the following months, to which no response was receivedA letter of concern was then mailed which prompted Mr K to call with payment and his concerns We do not feel a refund can be provided, as patient was informed of all fees prior to accepting any treatmentInsurance is a contract between the patient and the insurance company, being out of network we are not bound to their fee schedule or limitationsWe will be happy to forward all xrays and records to a dentist of their choice, should they wish to see someone else Sincerely, [redacted] Practice Manager