The Brighter Side

November 14, [redacted] Revdex.com of San Diego Viewridge Ave# San Diego, CA 92123-RE: ID [redacted] Dear Ms**, The customer and her husband came in to The Brighter Side on March 22,2014, to look at wigsThey both informed me that [redacted] Insurance would cover up to $I specifically told them it was highly unlikely the entire amount would be covered, adding that it does happen - but on rare occasions Our wigs range from $to $I showed several styles to the customer, and she chose a wig costing $I then asked her to sign a standard insurance waiver form (see attached) that states, "Client will be responsible for any amount not covered by insurance." In good faith, I allowed the customer to take the wig home, after paying only $I then would file a claim for the total cost Because customer's [redacted] policy is an HMO, we were required to get an authorization for the wigThis was initially denied by [redacted] but, finally, on May 1, 2014, we received authorization for the wig and filed a claimThe Brighter Side received payment from [redacted] on May 28, 2014, in the amount of $and refunded the overpayment of $to the customer, as follows: Cost of wig $ Customer payment Insurance payment Refund to customer < 35> The Brighter Side has provided service for cancer patients for over yearsWe take our commitment to the ladies who frequent our shop very seriously and strive to give them the best possible service Sincerely, [redacted] ***

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 Regards, [redacted] "The customer and her husband came in to The Brighter Side on March 22,2014, to look atwigsThey both informed me that *** Insurance would cover up to $500".Upon my first visit to the Brighter Side, I did not tell [redacted] that my insurance would cover up to $500, because I myself, wasnt sureI told her I was going to call my insurance company and verifyAnd if [redacted] did know I was covered up to $500, that doesnt negate the fact, that she neglected to tell me of her contract with my insurance company for only $She didnt have to show me a $wig! "I specifically told them it was highly unlikely the entire amount would be covered, adding that it does happen - but on rare occasions."My husband and I never heard her say this.."Our wigs range from $to $I showed several styles to the customer, and she chose awig costing $I then asked her to sign a standard insurance waiver form (see attached)that states, "Client will be responsible for any amount not covered by insurance." In goodfaith, I allowed the customer to take the wig home, after paying only $I then would filea claim for the total cost."She showed me several styles without telling me of their prices! once again, never mentioning her $contract with my insurance company!! She "let" me take the wig home? and why wouldnt she? she had already submitted her claim to my insurance company (and didnt mention that I had already paid $125) because she wanted and expected the total cost of $back!!"Because customer's [redacted] policy is an HMO, we were required to get an authorization forthe wigThis was initially denied by ***".It was denied because someone entered the incorrect coding for "cranial prosthesis"." but, finally, on May 1, 2014, we received authorization for the wig and filed a claimThe Brighter Side received payment from *** on May 28, 2014, in the amount of $and refunded the overpayment of $to the customer, as follows: Cost of wig $ Customer payment Insurance payment Refund to customer < 35> [redacted] never called me to tell me she received the check on May 28, In fact, I had left several messages for her over a period of weeks asking if she'd received the check from the insurance company and on occasions, she said, "No", so I decided not to bother her and wait for her callOnce again, a good 2-weeks had passed and I decided to call her on June 10, to ask if she received the check from the insurance companyShe said, she had just received it (if she had it since May 28th, why didnt she mail my portion to me sooner?) and that she'd be sending me my portionThen she called me back that day or a day later, saying I was only getting $back from herI asked her why and her response was, "you'll have to take that up with your insurance company" [redacted] obviously knew why, but didnt feel the need to tell meSo not only did she withhold information about her $contract at the beginning of all this, but never offered the explanation to help me understand what was going on! I consider that, quite unethicalShe withheld information for her own gainIf she truly felt she did nothing wrong, she'd have had no problem explaining anything to meRealistically, how many people know whats involved in buying a wig through their insurance company? usually, until they absolutely need one while undergoing cancer treatmentSo wouldnt a cancer patient need to know how it works? wouldnt it behoove [redacted] and benefit her clientele to walk them through the process, or at least, fill in the blanks? She didnt do this for me and I'm betting I'm not the first person either and wont be the last..."The Brighter Side has provided service for cancer patients for over yearsWe take ourcommitment to the ladies who frequent our shop very seriously and strive to give them the bestpossible service."Best service? I've been in the financial services industry for over years..and I would never treat a client of mine the way you treated meYou, my dear, [redacted] have a lot to learn about service...Thank you for your attention[redacted]

November 14, 2014
[redacted]
Revdex.com of San Diego
4747 Viewridge Ave. #200
San Diego, CA 92123-1688 RE: ID [redacted]
Dear Ms. **,
The customer and her husband came in to The Brighter Side on March 22,2014, to look at
wigs. They both informed me that [redacted] Insurance would cover up to $500. I...

specifically
told them it was highly unlikely the entire amount would be covered, adding that it does
happen - but on rare occasions.
Our wigs range from $150 to $400. I showed several styles to the customer, and she chose a
wig costing $250. I then asked her to sign a standard insurance waiver form (see attached)
that states, "Client will be responsible for any amount not covered by insurance." In good
faith, I allowed the customer to take the wig home, after paying only $125. I then would file
a claim for the total cost.
Because customer's [redacted] policy is an HMO, we were required to get an authorization for
the wig. This was initially denied by [redacted] but, finally, on May 1, 2014, we received
authorization for the wig and filed a claim. The Brighter Side received payment from [redacted]
on May 28, 2014, in the amount of $160 and refunded the overpayment of $35 to the
customer, as follows:
Cost of wig $250 
Customer payment <125>
Insurance payment <160>
Refund to customer < 35>
The Brighter Side has provided service for cancer patients for over 20 years. We take our
commitment to the ladies who frequent our shop very seriously and strive to give them the best
possible service.
  Sincerely,
 
[redacted]

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.
Regards,
[redacted]
"The customer and her husband came in to The Brighter Side on March 22,2014, to look atwigs. They both informed me that [redacted] Insurance would cover up to $500".Upon my first visit to the Brighter Side, I did not tell [redacted] that my insurance would cover up to $500, because I myself, wasnt sure. I told her I was going to call my insurance company and verify. And if [redacted] did know I was covered up to $500, that doesnt negate the fact, that she neglected to tell me of her contract with my insurance company for only $160. She didnt have to show me a $500 wig!   "I specifically told them it was highly unlikely the entire amount would be covered, adding that it does happen - but on rare occasions."My husband and I never heard her say this.."Our wigs range from $150 to $400. I showed several styles to the customer, and she chose awig costing $250. I then asked her to sign a standard insurance waiver form (see attached)that states, "Client will be responsible for any amount not covered by insurance." In goodfaith, I allowed the customer to take the wig home, after paying only $125. I then would filea claim for the total cost."She showed me several styles without telling me of their prices! once again, never mentioning her $160 contract with my insurance company!! She "let" me take the wig home? and why wouldnt she? she had already submitted her claim to my insurance company (and didnt mention that I had already paid $125) because she wanted and expected the total cost of $250 back!!"Because customer's [redacted] policy is an HMO, we were required to get an authorization forthe wig. This was initially denied by [redacted]".It was denied because someone entered the incorrect coding for "cranial prosthesis"." but, finally, on May 1, 2014, we received authorization for the wig and filed a claim. The Brighter Side received payment from [redacted] on May 28, 2014, in the amount of $160 and refunded the overpayment of $35 to the customer, as follows: Cost of wig $250  Customer payment <125> Insurance payment <160> Refund to customer < 35>[redacted] never called me to tell me she received the check on May 28, 2014. In fact, I had left several messages for her over a period of weeks asking if she'd received the check from the insurance company and on 3 occasions, she said, "No", so I decided not to bother her and wait for her call. Once again, a good 2-3 weeks had passed and I decided to call her on June 10, 2014 to ask if she received the check from the insurance company. She said, she had just received it (if she had it since May 28th, why didnt she mail my portion to me sooner?) and that she'd be sending me my portion. Then she called me back that day or a day later, saying I was only getting $35 back from her. I asked her why and her response was, "you'll have to take that up with your insurance company". [redacted] obviously knew why, but didnt feel the need to tell me. So not only did she withhold information about her $160 contract at the beginning of all this, but never offered the explanation to help me understand what was going on! I consider that, quite unethical. She withheld information for her own gain. If she truly felt she did nothing wrong, she'd have had no problem explaining anything to me. Realistically, how many people know whats involved in buying a wig through their insurance company? usually, until they absolutely need one while undergoing cancer treatment. So wouldnt a cancer patient need to know how it works? wouldnt it behoove [redacted] and benefit her clientele to walk them through the process, or at least, fill in the blanks? She didnt do this for me and I'm betting I'm not the first person either and wont be the last..."The Brighter Side has provided service for cancer patients for over 20 years. We take ourcommitment to the ladies who frequent our shop very seriously and strive to give them the bestpossible service."Best service? I've been in the financial services industry for over 30 years..and I would never treat a client of mine the way you treated me. You, my dear, [redacted] have a lot to learn about service...Thank you for your attention.[redacted]

Review: The Brighter Side failed to inform me that the vendor contract they had with my insurance company was only $160. Instead of telling me of this fact, and instead, allowing me to CHOOSE to buy a wig for only $160, they showed me a wig for $250, also requiring me to sign a form which made me responsible for the balance if my insurance company didnt pay the entire amount. My insurance company had already told me they would cover me up to $500, so I wasnt concerned. The Brighter Side then submitted my claim to my insurance company without stating I had already paid them a deposit of $125 as a sign of good faith so they could order the wig for me. Ultimately, my insurance company paid The Brighter Side their $160 in accordance with their vendor contract,, and The Brighter Side paid me back only $35 which left me short $90. I asked The Brighter Side for my $90 back and they refused, stating I should take it up with my insurance company. I then filed a claim with my insurance company, but it was denied because I signed the form stating I was responsible for the balance.

The Brighter Side's business practices are fraudulent. "Let the buyer beware" is total crap. This was complete omission of information and as long as they get the customer to sign that form to be responsible for the balance, they DONT CARE!!!!!! I can assure you, had I known from The Brighter Side in the first place, about the vendor contract of $160, I would have never purchased an upgraded wig for $250, and I wouldnt have made a deposit if I knew I wouldnt be reimbursed.Desired Settlement: I would love for The Brighter Side to reimburse me my $90. They should change their policy and explain to customers their agreements with the respective insurance companies prior to purchasing a wig, NOT AFTER!!! Having to deal with cancer and all that comes with it, is enough, and then to find out, that a business who is supposed to be caring, helpful and informative, takes advantage of the situation....its DISGUSTING!!!!! I will make sure no one I know or meet ever gives them their business!!!

Business

Response:

November 14, 2014

Revdex.com of San Diego

4747 Viewridge Ave. #200

San Diego, CA 92123-1688 RE: ID [redacted]

Dear Ms. **,

The customer and her husband came in to The Brighter Side on March 22,2014, to look at

wigs. They both informed me that [redacted] Insurance would cover up to $500. I specifically

told them it was highly unlikely the entire amount would be covered, adding that it does

happen - but on rare occasions.

Our wigs range from $150 to $400. I showed several styles to the customer, and she chose a

wig costing $250. I then asked her to sign a standard insurance waiver form (see attached)

that states, "Client will be responsible for any amount not covered by insurance." In good

faith, I allowed the customer to take the wig home, after paying only $125. I then would file

a claim for the total cost.

Because customer's [redacted] policy is an HMO, we were required to get an authorization for

the wig. This was initially denied by [redacted] but, finally, on May 1, 2014, we received

authorization for the wig and filed a claim. The Brighter Side received payment from [redacted]

on May 28, 2014, in the amount of $160 and refunded the overpayment of $35 to the

customer, as follows:

Cost of wig $250

Customer payment <125>

Insurance payment <160>

Refund to customer < 35>

The Brighter Side has provided service for cancer patients for over 20 years. We take our

commitment to the ladies who frequent our shop very seriously and strive to give them the best

possible service.

Sincerely,

[redacted]

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.

Regards,

"The customer and her husband came in to The Brighter Side on March 22,2014, to look atwigs. They both informed me that [redacted] Insurance would cover up to $500".Upon my first visit to the Brighter Side, I did not tell [redacted] that my insurance would cover up to $500, because I myself, wasnt sure. I told her I was going to call my insurance company and verify. And if [redacted] did know I was covered up to $500, that doesnt negate the fact, that she neglected to tell me of her contract with my insurance company for only $160. She didnt have to show me a $500 wig! "I specifically told them it was highly unlikely the entire amount would be covered, adding that it does happen - but on rare occasions."My husband and I never heard her say this.."Our wigs range from $150 to $400. I showed several styles to the customer, and she chose awig costing $250. I then asked her to sign a standard insurance waiver form (see attached)that states, "Client will be responsible for any amount not covered by insurance." In goodfaith, I allowed the customer to take the wig home, after paying only $125. I then would filea claim for the total cost."She showed me several styles without telling me of their prices! once again, never mentioning her $160 contract with my insurance company!! She "let" me take the wig home? and why wouldnt she? she had already submitted her claim to my insurance company (and didnt mention that I had already paid $125) because she wanted and expected the total cost of $250 back!!"Because customer's [redacted] policy is an HMO, we were required to get an authorization forthe wig. This was initially denied by [redacted]".It was denied because someone entered the incorrect coding for "cranial prosthesis"." but, finally, on May 1, 2014, we received authorization for the wig and filed a claim. The Brighter Side received payment from [redacted] on May 28, 2014, in the amount of $160 and refunded the overpayment of $35 to the customer, as follows: Cost of wig $250 Customer payment <125> Insurance payment <160> Refund to customer < 35>[redacted] never called me to tell me she received the check on May 28, 2014. In fact, I had left several messages for her over a period of weeks asking if she'd received the check from the insurance company and on 3 occasions, she said, "No", so I decided not to bother her and wait for her call. Once again, a good 2-3 weeks had passed and I decided to call her on June 10, 2014 to ask if she received the check from the insurance company. She said, she had just received it (if she had it since May 28th, why didnt she mail my portion to me sooner?) and that she'd be sending me my portion. Then she called me back that day or a day later, saying I was only getting $35 back from her. I asked her why and her response was, "you'll have to take that up with your insurance company". [redacted] obviously knew why, but didnt feel the need to tell me. So not only did she withhold information about her $160 contract at the beginning of all this, but never offered the explanation to help me understand what was going on! I consider that, quite unethical. She withheld information for her own gain. If she truly felt she did nothing wrong, she'd have had no problem explaining anything to me. Realistically, how many people know whats involved in buying a wig through their insurance company? usually, until they absolutely need one while undergoing cancer treatment. So wouldnt a cancer patient need to know how it works? wouldnt it behoove [redacted] and benefit her clientele to walk them through the process, or at least, fill in the blanks? She didnt do this for me and I'm betting I'm not the first person either and wont be the last..."The Brighter Side has provided service for cancer patients for over 20 years. We take ourcommitment to the ladies who frequent our shop very seriously and strive to give them the bestpossible service."Best service? I've been in the financial services industry for over 30 years..and I would never treat a client of mine the way you treated me. You, my dear, [redacted] have a lot to learn about service...Thank you for your attention.[redacted]