Summerlea Dental

(The consumer indicated he/she DID NOT accept the response from the business.) Need a new bill for my records when I receive it I will pay balanceWant to be sure they are not charging me for fluoride treatment that they did not do that is one of the reasons I was upset at there bill

This is the last email you will receive from meIf he would like a detailed statement please have him call our officeDue to privacy law we are NOT releasing that information to youHe was never denied this information, we are more then happy to provide itHe has no reason to be going through the Revdex.com, we have been more then compliant with him As I mentioned above, I will not respond to any further emails from the Revdex.comIf [redacted] has a legitimate complaint he needs to contact the [redacted] Thanks ***

Due to strict privacy law, the patients real name has been replaced with PATIENTNAMEWe will also be referring to the patient as "He" but this is not to identify the patients genderWe also have detailed chart records, SMS transcripts, and email records that WILL NOT BE released due to privacy lawsIf PATIENTNAME would like this information to be considered in mediation (although would side in our favor), he must file a complaint with the [redacted] and they can request this information In Alberta a dental plan is a contract between PATIENT and INSURANCE and NOT DENTAL OFFICEMost insurance companies will only disclose limited information to dental officesAs for payment, it is common practice to pay the dentist for services and then bill insurance for reimbursementOur office provides a service, free of charge, whereas we will direct bill to the insurance as a convenience to the patientThere are limitations and we always tell patients that after the insurance pays if there is a balance that is their responsibility to pay For PATIENTNAME, he was told that the services would be covered according the breakdown of his planHowever, he was also told that any remaining portion would be his responsibilityWhen patients are unsure the exact amount they may owe, we will request a preauthorization from the insuranceWe did this for PATIENTNAME for some procedures (his request) but not for others (did not request), he would have received a copy in the mail from [redacted] ***Our receptionists all follow strict protocols; they would have explained all this to PATIENTNAMEAnd even had they not; it is ultimately PATIENTNAME's responsibility to understand his insurance policy as laid out in [redacted] ***'s terms and conditions with which PATIENTNAME would have accepted since the plan is active We tried to work with PATIENTNAME to set up a payment plan but he was not communicating with us in a timely manner, being rude, and also not making payments when he said he wouldWe exhausted all efforts and have decided to refer to a collection agency PATIENTNAME and his family DID receive the treatment in question, they were satisfied with the treatment, therefore we see no reason why he should not pay his account This is our 7th year operating and this is the first time a patient has refused to pay simply because their insurance did not pay what they expected it wouldWhen there is uncertainty in what an insurance company will pay, patients have always chosen to wait for preauthorization before receiving the treatment We try our best to work with patients to resolve such issues and hope that there is no hard feelings moving forwardPATIENTNAME is always welcome to return to our office for future dental work

This is the last email you will receive from me. If he would like a detailed statement please have him call our office. Due to privacy law we are NOT releasing that information to you. He was never denied this information, we are more then happy to provide it. He has no reason to be going through the Revdex.com, we have been more then compliant with him.
As I mentioned above, I will not respond to any further emails from the Revdex.com. If [redacted] has a legitimate complaint he needs to contact the [redacted].
Thanks
[redacted]

Due to strict privacy law, the patients real name has been replaced with PATIENTNAME. We will also be referring to the patient as "He" but this is not to identify the patients gender. We also have detailed chart records, SMS transcripts, and email records that WILL NOT BE released due to privacy...

laws. If PATIENTNAME would like this information to be considered in mediation (although would side in our favor), he must file a complaint with the [redacted] [redacted] and they can request this information.
In Alberta a dental plan is a contract between PATIENT and INSURANCE and NOT DENTAL OFFICE. Most insurance companies will only disclose limited information to dental offices. As for payment, it is common practice to pay the dentist for services and then bill insurance for reimbursement. Our office provides a service, free of charge, whereas we will direct bill to the insurance as a convenience to the patient. There are limitations and we always tell patients that after the insurance pays if there is a balance that is their responsibility to pay.
For PATIENTNAME, he was told that the services would be covered according the breakdown of his plan. However, he was also told that any remaining portion would be his responsibility. When patients are unsure the exact amount they may owe, we will request a preauthorization from the insurance. We did this for PATIENTNAME for some procedures (his request) but not for others (did not request), he would have received a copy in the mail from [redacted]. Our receptionists all follow strict protocols; they would have explained all this to PATIENTNAME. And even had they not; it is ultimately PATIENTNAME's responsibility to understand his insurance policy as laid out in [redacted]'s terms and conditions with which PATIENTNAME would have accepted since the plan is active.
We tried to work with PATIENTNAME to set up a payment plan but he was not communicating with us in a timely manner, being rude, and also not making payments when he said he would. We exhausted all efforts and have decided to refer to a collection agency.
PATIENTNAME and his family DID receive the treatment in question, they were satisfied with the treatment, therefore we see no reason why he should not pay his account.
This is our 7th year operating and this is the first time a patient has refused to pay simply because their insurance did not pay what they expected it would. When there is uncertainty in what an insurance company will pay, patients have always chosen to wait for preauthorization before receiving the treatment.
We try our best to work with patients to resolve such issues and hope that there is no hard feelings moving forward. PATIENTNAME is always welcome to return to our office for future dental work.

(The consumer indicated he/she DID NOT accept the response from the business.)
Need a new bill for my records when I receive it I will pay balance. Want to be sure they are not charging me for fluoride treatment that they did not do that is one of the reasons I was upset at there bill