Pediatric Dentistry Clinic of Green Bay

In response to customer concern # [redacted] , the parents were given two treatment plans with options dependent on the outcome of the degree of decay found once the Dentist started the treatment The options included silver treatments or having to do a pulp treatment and a crown if the decay had entered the nerveThe treatment plans were explained and approved by the parents in November of The treatment plan had variables that would only be evident at the time of treatment and were explained to both parentsWe submit bills to the insurance company as a courtesy to our patients but cannot guarantee payment amountsEvery insurance company negotiates coverages with the employerTheir insurance plan restarted after the New YearTreatment was done on 12/1/2015, 3/10/2016, 4/14/and 5/9/Our policy is to refund the patient any credit after all treatment is completed, and in a timely manner, usually within to daysThe family cancelled their scheduled treatment appointments with short notice times in monthsIt is our policy to complete diagnosed treatment with weeks of diagnosisDue to the rescheduling, this particular treatment took monthsWe make every effort to estimate the patient out-of-pocket amounts but it is only an estimate We are in network for one insurance companyThe rest of the companies we submit to but are at the mercy of the company as to exactly how much they will pay after the treatment is submitted to them

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Unfortunately I don't accept this response from the dental office. They say that both treatment plans were explained to both parents in Nov 2015, that is untrue because the mother was not at the first two apptsI also feel that it doesn't matter when you create a treatment plan, you can't base final payment until the day ofThis or any dental office would have no idea if the patient received care at a different dental officeTherefor, if you expect payment at each appt you should contact the insurance carrier at each apptAlso, when a patient REQUEST that you confirm coverage with insurance while they're standing in front of you, that request should be taken careIt's very obvious that when I made this request it was ignoredI was told my payment would around $but after it was paid by insurance I actually only should have paid $It took me..as the patient a minute phone call to the insurance company to find out what coverage would beI did this for the last two appts, the last appt I knew what the max was going to be before walking into the officeThey told me I needed to pay $328, I said no check your numbers my max is around $after she did some checking it magically came down to $If a medical/dental office plans to make clients pay upfront, they should make sure they're charging the clients the correct amount by calling every insurance company, for every client, for every appt to determine coverage.
Regards,
*** ***

In response to customer concern #***, the parents were given two treatment plans with options dependent on the outcome of the degree of decay found once the Dentist started the treatment. The options included silver treatments or having to do a pulp treatment and a crown if the decay
had entered the nerveThe treatment plans were explained and approved by the parents in November of The treatment plan had variables that would only be evident at the time of treatment and were explained to both parentsWe submit bills to the insurance company as a courtesy to our patients but cannot guarantee payment amountsEvery insurance company negotiates coverages with the employerTheir insurance plan restarted after the New YearTreatment was done on 12/1/2015, 3/10/2016, 4/14/and 5/9/Our policy is to refund the patient any credit after all treatment is completed, and in a timely manner, usually within to daysThe family cancelled their scheduled treatment appointments with short notice times in monthsIt is our policy to complete diagnosed treatment with weeks of diagnosisDue to the rescheduling, this particular treatment took monthsWe make every effort to estimate the patient out-of-pocket amounts but it is only an estimate. We are in network for one insurance companyThe rest of the companies we submit to but are at the mercy of the company as to exactly how much they will pay after the treatment is submitted to them

In response to customer concern #***, the parents were given two treatment plans with options dependent on the outcome of the degree of decay found once the Dentist started the treatmentThe options included silver treatments or having to do a pulp treatment and a crown if the decay had entered the nerveThe treatment plans were explained and approved by the parents in November of The treatment plan had variables that would only be evident at the time of treatment and were explained to both parentsWe submit bills to the insurance company as a courtesy to our patients but cannot guarantee payment amountsEvery insurance company negotiates coverages with the employerTheir insurance plan restarted after the New YearTreatment was done on 12/1/2015, 3/10/2016, 4/14/and 5/9/Our policy is to refund the patient any credit after all treatment is completed, and in a timely manner, usually within to daysThe family cancelled their scheduled treatment appointments with short notice times in monthsIt is our policy to complete diagnosed treatment with weeks of diagnosisDue to the rescheduling, this particular treatment took months. We make every effort to estimate the patient out-of- pocket amounts but it is only an estimateWe are in network for one insurance companyThe rest of the companies we submit to but are at the mercy of the company as to exactly how much they will pay after the treatment is submitted to them

In response to customer concern #[redacted], the parents were given two treatment plans with options dependent on the outcome of the degree of decay found once the Dentist started the treatment.  The options included silver treatments or having to do a pulp treatment and a crown if the decay had...

entered the nerve. The treatment plans were explained and approved by the parents in November of 2015. The treatment plan had variables that would only be evident at the time of treatment and were explained to both parents. We submit bills to the insurance company as a courtesy to our patients but cannot guarantee payment amounts. Every insurance company negotiates coverages with the employer. Their insurance plan restarted after the New Year. Treatment was done on 12/1/2015, 3/10/2016, 4/14/2016 and 5/9/2016. Our policy is to refund the patient any credit after all treatment is completed, and in a timely manner, usually within 30 to 90 days. The family cancelled their scheduled treatment appointments with short notice 4 times in 6 months. It is our policy to complete diagnosed treatment with 6 weeks of diagnosis. Due to the rescheduling, this particular treatment took 6 months. We make every effort to estimate the patient out-of-pocket amounts but it is only an estimate.  We are in network for one insurance company. The rest of the companies we submit to but are at the mercy of the company as to exactly how much they will pay after the treatment is submitted to them.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]Unfortunately I don't accept this response from the dental office. They say that both treatment plans were explained to both parents in Nov 2015, that is untrue because the mother was not at the first two appts. I also feel that it doesn't matter when you create a treatment plan, you can't base final payment until the day of. This or any dental office would have no idea if the patient received care at a different dental office. Therefor, if you expect payment at each appt you should contact the insurance carrier at each appt. Also, when a patient REQUEST that you confirm coverage with insurance while they're standing in front of you, that request should be taken care. It's very obvious that when I made this request it was ignored. I was told my payment would around $500 but after it was paid by insurance I actually only should have paid $89. It took me..as the patient a 5 minute phone call to the insurance company to find out what coverage would be. I did this for the last two appts, the last appt I knew what the max was going to be before walking into the office. They told me I needed to pay $328, I said no check your numbers my max is around $100 after she did some checking it magically came down to $68. If a medical/dental office plans to make clients pay upfront, they should make sure they're charging the clients the correct amount by calling every insurance company, for every client, for every appt to determine coverage. 
Regards,
[redacted]