South Coast Dental Specialties

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 For your reference, details of the offer I reviewed appear below [contact was made directly with the patient, letters sent in patients name or to current patients address, calls made to patients phone numberhence the year delay in payment record of this bill has been sent to me from both South Coast Dental or my insurance providerThis bill should be in collections for the owner of the insurance policy and the person you contacted, not myself.] Regards, [redacted]

[redacted] Our office billed all the insurance policies presented by the patient at the date services were renderedThe secondary policy (Anthem) submitted the payment for the services to the patient as is common when the treating dentist is out of networkThe balance is according to what the plan estimates on the EOB (explanation of benefits)We believe the patient was confused at the time when they received the payment from the insurance companyOur office policy, as stated on our financial policy (signed by the patient) is to bill insurance as a courtesy to the patient any unpaid balances ageing over 90days will be subject to collectionsWe apologize for any inconvenience but we can't offer any discount at this time, patient can contact Trojan collections services to make any arrangements

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. For your reference, details of the offer I reviewed appear below.The dental office submitted a fraud claim to Delta Dental for $3800, then resubmitted correct amount Delta Dental paid the correct contract rate and stated customer co-pay was $which was paid making the account paid in fullThe dental office is attempting to submit duplicate claims to secondary insurance in order to get paid more than they are owed
Regards,
*** *** ***

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. For your reference, details of the offer I reviewed appear belowThe dental office submitted a fraud claim to Delta Dental for $3800, then resubmitted correct amount Delta Dental paid the correct contract rate and stated customer co-pay was $which was paid making the account paid in fullThe dental office is attempting to submit duplicate claims to secondary insurance in order to get paid more than they are owed
Regards,
*** *** ***

The collection protocol at South Coast Dental Specialties is one that allows the patient to settle the account balance in a period of to daysOnce the insurance has been billed
the representative will audit the account and follow up with the patient if there are any monies dueThis
is done in writing by mean of a monthly statement, that is sent consecutively
for days (months) as stipulated by lawOnce the statements have been sent, if the account balance is not paid the office will mail letters to collect paymentThese letter are
followed up by a phone call to remind patient of the balanceEven though the office extends this courtesy to the patients, it is not the office responsibility to call and ensure paymentIt is
the patient's responsibility as a contractual agreement with their insurance carried to pay the office where services are renderedThe patient stated that he did not mind making a payment to clear
the account, however we have not received such payment neither has any agreement for payment been made now or in the last yearsUnfortunately often time this type of complaints only come
as a result of an unpaid account balanceWe would like to apologize if there was any miscommunication but the account balance stands and it must be paid to the collections services or
the office for the services renderedOnce payment is received, south Coast dental specialties will contact Trojan collection services to mark the account as paid in full and report to the credit Bureaus
Once again the office and representatives exhausted all the means to collect the debt from the patients and responsible parties and the record was forwarded for collections
Regards,
South Coast Dental Specialties

***Our office billed all the insurance policies presented by the patient at the date services were renderedThe secondary policy (Anthem) submitted the payment for the services to the patient as is common when the treating dentist is out of networkThe balance is according to what the plan
estimates on the EOB (explanation of benefits)We believe the patient was confused at the time when they received the payment from the insurance company. Our office policy, as stated on our financial policy (signed by the patient) is to bill insurance as a courtesy to the patient any unpaid balances ageing over 90days will be subject to collectionsWe apologize for any inconvenience but we can't offer any discount at this time, patient can contact Trojan collections services to make any arrangements

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.  For your reference, details of the offer I reviewed appear below.
[0 contact was made directly with the patient, 0 letters sent in patients name or to current patients address, 0 calls made to patients phone number. hence the 5 year delay in payment… 0 record of this bill has been sent to me from both South Coast Dental or my insurance provider. This bill should be in collections for the owner of the insurance policy and the person you contacted, not myself.]
Regards,
[redacted]

[redacted]Our office billed all the insurance policies presented by the patient at the date services were rendered. The secondary policy (Anthem) submitted the payment for the services to the patient as is common when the treating dentist is out of network. The balance is according to what the...

plan estimates on the EOB (explanation of benefits). We believe the patient was confused at the time when they received the payment from the insurance company. Our office policy, as stated on our financial policy (signed by the patient) is to bill insurance as a courtesy to the patient any unpaid balances ageing over 90days will be subject to collections. We apologize for any inconvenience but we can't offer any discount at this time, patient can contact Trojan collections services to make any arrangements.

Review: I am complaining about the business practices and collection policy of this business. I was referred/ forced to choose this office in 2009. at the time I was 19 years old both my medical insurance and bills were handled through my father, at the time I am still listed as a dependent through my father, they contacted and received permission for my procedure through my father. in present 2014 upon taking a close review of my credit I am now being charged through a collection agency for the procedure I received. I contacted and spoke with the office and was told the letters and contacts have been sent to my father. They had no contact/ address or account info for me. They claimed that they spoke and tried to collect money from my father to clear the debt in june of 2009. My credit has been affected, they claim that al debts are mine to pay yet they contacted my father at his number, asked him for money, sent letters to his address and have his information for insurance purposes. I was never contacted though they have my name and number and social security number to do so. I looked into this dental office and have multiple reviews and accounts of this office doing the same thing to others. they get underage or dependent patients to sign-off never talk to them or give them notice of the payment then try to collect the extra debt from insurance/ creditors. I was told when I contacted the office "you were technically an adult, it was your payment to make" yet I was never contacted and no bills were sent in my name to any of my current or past addresses. they had all the info to send it to creditors and ruin my credit but failed to contact me, the person who got the procedure. I have a strong feeling they did this because contacting an 18 about a dental bill is nearly pointless. I have no problem with the debt but sending my account to collections/affecting my credit without contacting me directly seems untruthful/ unprofessional. I never had record of them until april of 2014.Desired Settlement: Remove the debt from my credit, take my account out of collections. I don't mind paying my debt but I was never given fair contact about the amount for the procedure nor was I contacted after, I now have to deal with this through a creditor. I deserve the fair amount of time to pay with the correct contact information and addresses receiving all billing info.

Business

Response:

The collection protocol at South Coast Dental Specialties is one that allows the patient to settle the account balance in a period of 60 to 90 days. Once the insurance has been billed

the representative will audit the account and follow up with the patient if there are any monies due. This is done in writing by mean of a monthly statement, that is sent consecutively

for 90 days (3 months) as stipulated by law. Once the 3 statements have been sent, if the account balance is not paid the office will mail 3 letters to collect payment. These letter are

followed up by a phone call to remind patient of the balance. Even though the office extends this courtesy to the patients, it is not the office responsibility to call and ensure payment. It is

the patient's responsibility as a contractual agreement with their insurance carried to pay the office where services are rendered. The patient stated that he did not mind making a payment to clear

the account, however we have not received such payment neither has any agreement for payment been made now or in the last 5 years. Unfortunately often time this type of complaints only come

as a result of an unpaid account balance. We would like to apologize if there was any miscommunication but the account balance stands and it must be paid to the collections services or

the office for the services rendered. Once payment is received, south Coast dental specialties will contact Trojan collection services to mark the account as paid in full and report to the credit Bureaus.

Once again the office and representatives exhausted all the means to collect the debt from the patients and responsible parties and the record was forwarded for collections.

Regards,

South Coast Dental Specialties

Consumer

Response:

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. For your reference, details of the offer I reviewed appear below.

[0 contact was made directly with the patient, 0 letters sent in patients name or to current patients address, 0 calls made to patients phone number. hence the 5 year delay in payment… 0 record of this bill has been sent to me from both South Coast Dental or my insurance provider. This bill should be in collections for the owner of the insurance policy and the person you contacted, not myself.]

Regards,