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The Dermatology & Plastic Surgery Group

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Reviews The Dermatology & Plastic Surgery Group

The Dermatology & Plastic Surgery Group Reviews (10)

The patient was first seen in our practice for a consultation on 72015, as the patient was unhappy with the appearance of the scars that the burns left her withThe patient explained to the doctor that she works in sales and as she uses her hands a lot, she would like to remove the burn scarsAt this consultation, the doctor explained to the patient that he could excise the scars, but because this was not medically necessary and deemed cosmetic, it would be an out-of-pocket expenseWe quoted the patient $3,for the cosmetic excisionsThe patient agreed and paid $3,for excisions of the burn scars on 72015.Due to a software error, this automatically generated an insurance billOur outsourced biller then submitted this to the patient’s insurance company, as she normally would with any insurance bill she seesUnfortunately we did not catch this mistake that day until we received a payment in the amount of $1,on 92015.Upon noticing the billing error, our insurance biller contacted the patient’s insurance company on 102015.We wrote a check in the amount of $1,178.30, dated and mailed this to the patients insurance company for the full refund.We have copies of all documentation and also verification that this check was cashed by the patients Insurance company

In response to the patient’s complaint:1, At the patients second consultation, there was no blistering present, hence the doctor advising the patient that it would be cosmeticThis was documented in the patients chart at the time of the consultation and photos were takenThe patient has access to all of her medial notes and photos at any time, if requested.2, We can provide the patient with [redacted] Blue Shields contact information to verify that they have indeed cashed the refund checkWe can also supply documentation to the patient from our bank to show this check was cashed and refunded.3, As soon as the billing mistake was found, our office immediately contacted the patients insurance to let them know of the error in billing and to file a retractionWe also have documentation from the patients insurance to show evidence this.We sincerely apologize to the patient for any inconvenience this may have caused, and The Dermatology & Plastic Surgery Group are not in the practice of double billingWe can provide the patient with all of her medical notes and all documents to show evidence of the refund to her insurance company

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# [redacted] , and have determined that my complaint has NOT been resolved because: There were blisters and they were discussedThe Dermatology and Plastic Surgery Group stated they have pictures and the pictures show the blisteringI am happy to have them attach pictures of the burns to their next response so that I may point them out In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, [redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
The Dermatology and Plastic Surgery Group neglected to note that when I went to have my second consultation, I complained that the scars were consistently blistering and remained painfulI told them I thought it was medically necessary to excise the scars since they were not healingI was advised that anything I wanted to do to remedy the situation would be considered "cosmetic." I later learned from *** *** that the condition I described is common and any action taken to resolve the condition would have been covered by my insurance. *** *** still cannot find any of the paperwork the Dermatology and Plastic Surgery described, nor do they have record of being reimbursed*** *** cannot ask for reimbursement from The Dermatology and Plastic Surgery Group because according to their standards, they paid a claim that was legitimately filedIn addition, they cannot provide me with any documentation of the case other than an "Explanation of Benefits" describing the payout, because that is the only involvement they have with the case. Legally *** *** cannot press charges to get the money back from The Dermatology and Plastic Surgery Group since the claim that was filed was legitimateAs such, *** *** recommended that I hire outside counsel to deal with the situation, and that they would work in accordance with any attorney I hired to provide oral statements backing up my case and provide written copies of notes taken during our conversations which explain that *** *** had not been reimbursed. Rather than hire an attorney I reported the situation to the Revdex.com
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
The Dermatology and Plastic Surgery Group neglected to note that when I went to have my second consultation, I complained that the scars were consistently blistering and remained painfulI told them I thought it was medically necessary to excise the scars since they were not healingI was advised that anything I wanted to do to remedy the situation would be considered "cosmetic." I later learned from *** *** that the condition I described is common and any action taken to resolve the condition would have been covered by my insurance.
*** *** still cannot find any of the paperwork the Dermatology and Plastic Surgery described, nor do they have record of being reimbursed*** *** cannot ask for reimbursement from The Dermatology and Plastic Surgery Group because according to their standards, they paid a claim that was legitimately filedIn addition, they cannot provide me with any documentation of the case other than an "Explanation of Benefits" describing the payout, because that is the only involvement they have with the case.
Legally *** *** cannot press charges to get the money back from The Dermatology and Plastic Surgery Group since the claim that was filed was legitimateAs such, *** *** recommended that I hire outside counsel to deal with the situation, and that they would work in accordance with any attorney I hired to provide oral statements backing up my case and provide written copies of notes taken during our conversations which explain that *** *** had not been reimbursed.
Rather than hire an attorney I reported the situation to the Revdex.com
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

The patient was first seen in our practice for a consultation on 7/*/2015 for an assessment of burns on the wrist and hand. At this appointment the patient was treated for these burns, which was correctly submitted through the patient’s insurance. The patient later returned to our office for a...

further consultation on 7/**/2015, as the patient was unhappy with the appearance of the scars that the burns left her with. The patient explained to the doctor that she works in sales and as she uses her hands a lot, she would like to remove the burn scars. At this consultation, the doctor explained to the patient that he could excise the scars, but because this was not medically necessary and deemed cosmetic, it would be an out-of-pocket expense. We quoted the patient $3,000 for the cosmetic excisions. The patient agreed and paid $3,000 for 2 excisions of the burn scars on 7/**/2015.Due to a software error, this automatically generated an insurance bill. Our outsourced biller then submitted this to the patient’s insurance company, as she normally would with any insurance bill she sees. Unfortunately we did not catch this mistake that day until we received a payment in the amount of $1,178.30 on 9/**/2015.Upon noticing the billing error, our insurance biller contacted the patient’s insurance company on 10/*/2015 to retract the payment we had received from the Insurance Company. Reference number [redacted]. The patients insurance generated a refund letter which we received and have a copy of this letter on file dated 10/*/2015.We wrote a check in the amount of $1,178.30, dated 10/**/2015 and mailed this to the patients insurance company for the full refund.We have copies of all documentation and also verification that this check was cashed by the patients Insurance company.

In response to the patient’s complaint:1, At the patients second consultation, there was no blistering present, hence the doctor advising the patient that it would be cosmetic. This was documented in the patients chart at the time of the consultation and photos were taken. The patient has access to all of her medial notes and photos at any time, if requested.2, We can provide the patient with [redacted] Blue Shields contact information to verify that they have indeed cashed the refund check. We can also supply documentation to the patient from our bank to show this check was cashed and refunded.3, As soon as the billing mistake was found, our office immediately contacted the patients insurance to let them know of the error in billing and to file a retraction. We also have documentation from the patients insurance to show evidence this.We sincerely apologize to the patient for any inconvenience this may have caused, and The Dermatology & Plastic Surgery Group are not in the practice of double billing. We can provide the patient with all of her medical notes and all documents to show evidence of the refund to her insurance company.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

There were blisters and they were discussed. The Dermatology and Plastic Surgery Group stated they have pictures and the pictures show the blistering. I am happy to have them attach pictures of the burns to their next response so that I may point them out.
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

There were blisters and they were discussed. The Dermatology and Plastic Surgery Group stated they have pictures and the pictures show the blistering. I am happy to have them attach pictures of the burns to their next response so that I may point them out.
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

The patient was first seen in our practice for a consultation on 7/*/2015 for an assessment of burns on the wrist and hand. At this appointment the patient was treated for these burns, which was correctly submitted through the patient’s insurance. The patient later returned to our office...

for a further consultation on 7/**/2015, as the patient was unhappy with the appearance of the scars that the burns left her with. The patient explained to the doctor that she works in sales and as she uses her hands a lot, she would like to remove the burn scars. At this consultation, the doctor explained to the patient that he could excise the scars, but because this was not medically necessary and deemed cosmetic, it would be an out-of-pocket expense. We quoted the patient $3,000 for the cosmetic excisions. The patient agreed and paid $3,000 for 2 excisions of the burn scars on 7/**/2015.Due to a software error, this automatically generated an insurance bill. Our outsourced biller then submitted this to the patient’s insurance company, as she normally would with any insurance bill she sees. Unfortunately we did not catch this mistake that day until we received a payment in the amount of $1,178.30 on 9/**/2015.Upon noticing the billing error, our insurance biller contacted the patient’s insurance company on 10/*/2015 to retract the payment we had received from the Insurance Company. Reference number [redacted]. The patients insurance generated a refund letter which we received and have a copy of this letter on file dated 10/*/2015.We wrote a check in the amount of $1,178.30, dated 10/**/2015 and mailed this to the patients insurance company for the full refund.We have copies of all documentation and also verification that this check was cashed by the patients Insurance company.

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Address: 200 West 57th Street, New York, New York, United States, 10019-3256

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