Initial Business Response / [redacted] (1000, 8, 2017/09/08) */ [redacted] first came to our office in June; he was scheduled to have and had a new patient examAs we do with all our patients, we had him fill out a patient information form and collected his insurance and ID card [redacted] has *** insurance and we bill several [redacted] plans; however we always call the insurance company to verify that they have active dental coverage, which he did, and we advised him that we got verification of his dental coverage, he proceeded with the dental appointmentWe then attached his insurance plan into his patient account, so we could estimate copay's for any future treatment that would potentially be diagnosed during the examDuring the exam the Drrecommended treatment, the finances were reviewed with [redacted] and he signed giving his consent to the cost and treatment, prior to being scheduled for any appointments or treatment performedHe returned to our office for his cleaning and treatment appointment; at check-out he used his Care credit for his co-payment Prior to this Revdex.com complaint, [redacted] disputed his charges to Care credit, and they upheld our charges; finding that we did, for a fact, have signed documentation that we reviewed treatment costs and got his consent to perform servicesAs of today, his insurance has paid on all of their claims, and they have paid their balance for services renderedTo address the statement regarding insurance; he was advised that we accept all patients and we bill all insurances; the estimates we provide are based on what we believe their co-pay for our services will beWe bill over a hundred different insurance plans and we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected has; however we do not discriminate or screen our patients based on what insurance coverage they have or do not haveAll of our patients, regardless of whether they have insurance or not, pay their estimated co-pays on the day of treatment, so there is always a possibility that we over or under collect co-pays unless the patient is cash paying and has paid in fullWe are very transparent about finances and we state that on our financial arrangements, prior to treating patients Initial Consumer Rebuttal / [redacted] (3000, 10, 2017/09/08) */ (The consumer indicated he/she DID NOT accept the response from the business.) What they are not saying is that I ask if they were in accepted my insurance and if they were in networkThey said they didIt wasn't until the charged me for over $for one visit that I asked them why it was so muchI called my insurance company and they informed me that they only file for your insurance and that they are not in networkWhen I call the dental office, they informed me that they file all insuranceI asked them again about being in network and they stated "we do not tell people that they are in network or not." I asked them again why when I asked them about that they said they were in network the only thing they wanted to know who told me that they were in network so they could train that person never to tell anyone whether they are or or notIf I knew from the being they were not in network I would of went somewhere elseI was over charge about $1,because of their lie Final Business Response / [redacted] (4000, 12, 2017/09/13) */ When patients ask that question regarding insurance we state that we accept and bill all insurances, because we do, we do not say we are in or out of any networks; insurance companies often times do not disclose their network during verification, nor do they always require their subscribers to see someone within a specific network, which is why we we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected hasAs the gentleman stated, he later discovered that the Drhe choose was out of network with his insurance; however the estimates we reviewed with him prior to services being rendered are based on what we believed their co-pay for our services would beTo further show how thorough we are when verifying insurance, our estimate for his services were almost perfect, the difference was only $14, and we adjusted that off his balance, so he did not have a larger out pocket expense than we quoted him
Initial Business Response /* (1000, 8, 2017/09/08) */
[redacted] first came to our office in June; he was scheduled to have and had a new patient exam. As we do with all our patients, we had him fill out a patient information form and collected his insurance and ID card. [redacted] has [redacted]...
insurance and we bill several [redacted] plans; however we always call the insurance company to verify that they have active dental coverage, which he did, and we advised him that we got verification of his dental coverage, he proceeded with the dental appointment. We then attached his insurance plan into his patient account, so we could estimate copay's for any future treatment that would potentially be diagnosed during the exam. During the exam the Dr. recommended treatment, the finances were reviewed with [redacted] and he signed giving his consent to the cost and treatment, prior to being scheduled for any appointments or treatment performed. He returned to our office for his cleaning and treatment appointment; at check-out he used his Care credit for his co-payment.
Prior to this Revdex.com complaint, [redacted] disputed his charges to Care credit, and they upheld our charges; finding that we did, for a fact, have signed documentation that we reviewed treatment costs and got his consent to perform services. As of today, his insurance has paid on all of their claims, and they have paid their balance for services rendered. To address the statement regarding insurance; he was advised that we accept all patients and we bill all insurances; the estimates we provide are based on what we believe their co-pay for our services will be. We bill over a hundred different insurance plans and we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected has; however we do not discriminate or screen our patients based on what insurance coverage they have or do not have. All of our patients, regardless of whether they have insurance or not, pay their estimated co-pays on the day of treatment, so there is always a possibility that we over or under collect co-pays unless the patient is cash paying and has paid in full. We are very transparent about finances and we state that on our financial arrangements, prior to treating patients.
Initial Consumer Rebuttal /* (3000, 10, 2017/09/08) */
(The consumer indicated he/she DID NOT accept the response from the business.)
What they are not saying is that I ask if they were in accepted my insurance and if they were in network. They said they did. It wasn't until the charged me for over $700.00 for one visit that I asked them why it was so much. I called my insurance company and they informed me that they only file for your insurance and that they are not in network. When I call the dental office, they informed me that they file all insurance. I asked them again about being in network and they stated "we do not tell people that they are in network or not." I asked them again why when I asked them about that they said they were in network the only thing they wanted to know who told me that they were in network so they could train that person never to tell anyone whether they are or or not. If I knew from the being they were not in network I would of went somewhere else. I was over charge about $1,000.00 because of their lie.
Final Business Response /* (4000, 12, 2017/09/13) */
When patients ask that question regarding insurance we state that we accept and bill all insurances, because we do, we do not say we are in or out of any networks; insurance companies often times do not disclose their network during verification, nor do they always require their subscribers to see someone within a specific network, which is why we we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected has. As the gentleman stated, he later discovered that the Dr. he choose was out of network with his insurance; however the estimates we reviewed with him prior to services being rendered are based on what we believed their co-pay for our services would be. To further show how thorough we are when verifying insurance, our estimate for his services were almost perfect, the difference was only $14, and we adjusted that off his balance, so he did not have a larger out pocket expense than we quoted him.
Initial Business Response / [redacted] (1000, 8, 2017/09/08) */ [redacted] first came to our office in June; he was scheduled to have and had a new patient examAs we do with all our patients, we had him fill out a patient information form and collected his insurance and ID card [redacted] has *** insurance and we bill several [redacted] plans; however we always call the insurance company to verify that they have active dental coverage, which he did, and we advised him that we got verification of his dental coverage, he proceeded with the dental appointmentWe then attached his insurance plan into his patient account, so we could estimate copay's for any future treatment that would potentially be diagnosed during the examDuring the exam the Drrecommended treatment, the finances were reviewed with [redacted] and he signed giving his consent to the cost and treatment, prior to being scheduled for any appointments or treatment performedHe returned to our office for his cleaning and treatment appointment; at check-out he used his Care credit for his co-payment Prior to this Revdex.com complaint, [redacted] disputed his charges to Care credit, and they upheld our charges; finding that we did, for a fact, have signed documentation that we reviewed treatment costs and got his consent to perform servicesAs of today, his insurance has paid on all of their claims, and they have paid their balance for services renderedTo address the statement regarding insurance; he was advised that we accept all patients and we bill all insurances; the estimates we provide are based on what we believe their co-pay for our services will beWe bill over a hundred different insurance plans and we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected has; however we do not discriminate or screen our patients based on what insurance coverage they have or do not haveAll of our patients, regardless of whether they have insurance or not, pay their estimated co-pays on the day of treatment, so there is always a possibility that we over or under collect co-pays unless the patient is cash paying and has paid in fullWe are very transparent about finances and we state that on our financial arrangements, prior to treating patients Initial Consumer Rebuttal / [redacted] (3000, 10, 2017/09/08) */ (The consumer indicated he/she DID NOT accept the response from the business.) What they are not saying is that I ask if they were in accepted my insurance and if they were in networkThey said they didIt wasn't until the charged me for over $for one visit that I asked them why it was so muchI called my insurance company and they informed me that they only file for your insurance and that they are not in networkWhen I call the dental office, they informed me that they file all insuranceI asked them again about being in network and they stated "we do not tell people that they are in network or not." I asked them again why when I asked them about that they said they were in network the only thing they wanted to know who told me that they were in network so they could train that person never to tell anyone whether they are or or notIf I knew from the being they were not in network I would of went somewhere elseI was over charge about $1,because of their lie Final Business Response / [redacted] (4000, 12, 2017/09/13) */ When patients ask that question regarding insurance we state that we accept and bill all insurances, because we do, we do not say we are in or out of any networks; insurance companies often times do not disclose their network during verification, nor do they always require their subscribers to see someone within a specific network, which is why we we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected hasAs the gentleman stated, he later discovered that the Drhe choose was out of network with his insurance; however the estimates we reviewed with him prior to services being rendered are based on what we believed their co-pay for our services would beTo further show how thorough we are when verifying insurance, our estimate for his services were almost perfect, the difference was only $14, and we adjusted that off his balance, so he did not have a larger out pocket expense than we quoted him
Initial Business Response /* (1000, 8, 2017/09/08) */
[redacted] first came to our office in June; he was scheduled to have and had a new patient exam. As we do with all our patients, we had him fill out a patient information form and collected his insurance and ID card. [redacted] has [redacted]...
insurance and we bill several [redacted] plans; however we always call the insurance company to verify that they have active dental coverage, which he did, and we advised him that we got verification of his dental coverage, he proceeded with the dental appointment. We then attached his insurance plan into his patient account, so we could estimate copay's for any future treatment that would potentially be diagnosed during the exam. During the exam the Dr. recommended treatment, the finances were reviewed with [redacted] and he signed giving his consent to the cost and treatment, prior to being scheduled for any appointments or treatment performed. He returned to our office for his cleaning and treatment appointment; at check-out he used his Care credit for his co-payment.
Prior to this Revdex.com complaint, [redacted] disputed his charges to Care credit, and they upheld our charges; finding that we did, for a fact, have signed documentation that we reviewed treatment costs and got his consent to perform services. As of today, his insurance has paid on all of their claims, and they have paid their balance for services rendered. To address the statement regarding insurance; he was advised that we accept all patients and we bill all insurances; the estimates we provide are based on what we believe their co-pay for our services will be. We bill over a hundred different insurance plans and we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected has; however we do not discriminate or screen our patients based on what insurance coverage they have or do not have. All of our patients, regardless of whether they have insurance or not, pay their estimated co-pays on the day of treatment, so there is always a possibility that we over or under collect co-pays unless the patient is cash paying and has paid in full. We are very transparent about finances and we state that on our financial arrangements, prior to treating patients.
Initial Consumer Rebuttal /* (3000, 10, 2017/09/08) */
(The consumer indicated he/she DID NOT accept the response from the business.)
What they are not saying is that I ask if they were in accepted my insurance and if they were in network. They said they did. It wasn't until the charged me for over $700.00 for one visit that I asked them why it was so much. I called my insurance company and they informed me that they only file for your insurance and that they are not in network. When I call the dental office, they informed me that they file all insurance. I asked them again about being in network and they stated "we do not tell people that they are in network or not." I asked them again why when I asked them about that they said they were in network the only thing they wanted to know who told me that they were in network so they could train that person never to tell anyone whether they are or or not. If I knew from the being they were not in network I would of went somewhere else. I was over charge about $1,000.00 because of their lie.
Final Business Response /* (4000, 12, 2017/09/13) */
When patients ask that question regarding insurance we state that we accept and bill all insurances, because we do, we do not say we are in or out of any networks; insurance companies often times do not disclose their network during verification, nor do they always require their subscribers to see someone within a specific network, which is why we we encourage patients to be aware of any restrictions or limitations that the insurance plan they have selected has. As the gentleman stated, he later discovered that the Dr. he choose was out of network with his insurance; however the estimates we reviewed with him prior to services being rendered are based on what we believed their co-pay for our services would be. To further show how thorough we are when verifying insurance, our estimate for his services were almost perfect, the difference was only $14, and we adjusted that off his balance, so he did not have a larger out pocket expense than we quoted him.