Tranquility Dental Wellness Center

? Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted] , and I will accept the offered refund.? I have been insured by [redacted] for years and in that time have been treated by four different dentists? In that time this dental office is the ONLY one that has had billing issues, and in fact has made refunds on two other occasions.? The problem is not with the insurance company but with the dentists billing practices.Sincerely, [redacted] ***

To Whom It May Concern:I am writing in response to the complaint number listed aboveI have personallyinvestigated Mr [redacted] concerns over his billing statementsHe listed a purchase date of3/12/2015, however there are no services that were provided to him or his familymembers on that dateThe closest dates to that were: 3/2/for his wife and 3/18/forhimselfI am going to assume he meant those dates.The financial policy in my office states that we do complimentary benefit checking ofinsurance coverages, but that we c n only estimate the patient's payment amount duebased on the information they provide usAny amount, up to our contracted insurance fee,that Isn't covered by insurance is t e responsibility of the patientI am attaching a copy ofMr [redacted] signed copy of the financial policy, which demonstrates that he was aware of,and agreed to, this financial policyIt appears that.on the 3/appointment date, their policy had renewed and a $50deductible appliedWe do our very best to catch these things, but because every patient'spolicy varies greatly in effective dates, coverage amounts, deductibles, etcwe canoccasionally miss these thingsi e amount that was paid on the date of service did notreflect this and so there was a balance due after insurance paid.For the service on 3/18/15, Mr [redacted] was quoted the amount we expected hisposition to be based on the insurance contract he hasHowever, insurances don't alwaysfully disclose fine details and in this instance, the service provided wasn't covered because a6·month waiting period was needed between appointmentsThis isn't always a part of thecontract that the insurance discloses to the providers until AFTER the bills are submitted.So, again, after the insurance declined payment, there was a balance due to Mr***.This is a frustration to all practitioners because insurance companies will evadepaying whenever possible, but w do our best to avoid this happening as much as we canItISthe responsibility of the patient to know and understand their Insurance benefitsOurgoal is to provide the care our patients need, WHEN they need it, regardless of howinsurance paysMr [redacted] should contact his insurance company and find out why theyonly allow payment at such a lengthy interval when it isn't in the best interest of his health.I will refund the $to Mr [redacted] as a courtesy, since it is money that wasactually due to us for services rendered, but I understand Mr [redacted] frustrationsThisletter and all of the attached documentation clearly demonstrate there was no wrongdoingor erroneous billing done by our office and the money he's asking for isn't actuallywarranted.Please don't hesitate to call me for more information or with questions.Regards, Lori N***, DMD

Revdex.com:I have reviewed the response made by the business in reference to complaint ID ***, and I will accept the offered refund. I have been insured by *** *** for years and in that time have been treated by four different dentists In that time this dental office is the ONLY one that has had billing issues, and in fact has made refunds on two other occasions. The problem is not with the insurance company but with the dentists billing practices.Sincerely, *** ***

Revdex.com:I have reviewed the response made by the business in reference to complaint ID ***, and I will accept the offered refund. I have been insured by *** *** for years and in that time have been treated by four different dentists In that time this dental office is the ONLY one that has had billing issues, and in fact has made refunds on two other occasions. The problem is not with the insurance company but with the dentists billing practices.Sincerely, *** ***

To Whom It May Concern:I am writing in response to the complaint number listed above. I have personallyinvestigated Mr. [redacted] concerns over his billing statements. He listed a purchase date of3/12/2015, however there are no services that were provided to him or his familymembers on that date. The...

closest dates to that were: 3/2/15 for his wife and 3/18/15 forhimself. I am going to assume he meant those dates.The financial policy in my office states that we do complimentary benefit checking ofinsurance coverages, but that we c n only estimate the patient's payment amount duebased on the information they provide us. Any amount, up to our contracted insurance fee,that Isn't covered by insurance is t e responsibility of the patient. I am attaching a copy ofMr. [redacted] signed copy of the financial policy, which demonstrates that he was aware of,and agreed to, this financial policyIt appears that.on the 3/2 15 appointment date, their policy had renewed and a $50deductible applied. We do our very best to catch these things, but because every patient'spolicy varies greatly in effective dates, coverage amounts, deductibles, etc. we canoccasionally miss these things. I e amount that was paid on the date of service did notreflect this and so there was a balance due after insurance paid.For the service on 3/18/15, Mr. [redacted] was quoted the amount we expected hisposition to be based on the insurance contract he has. However, insurances don't alwaysfully disclose fine details and in this instance, the service provided wasn't covered because a6·month waiting period was needed between appointments. This isn't always a part of thecontract that the insurance discloses to the providers until AFTER the bills are submitted.So, again, after the insurance declined payment, there was a balance due to Mr. [redacted].This is a frustration to all practitioners because insurance companies will evadepaying whenever possible, but w do our best to avoid this happening as much as we can. ItIS. the responsibility of the patient to know and understand their Insurance benefits. Ourgoal is to provide the care our patients need, WHEN they need it, regardless of howinsurance pays. Mr. [redacted] should contact his insurance company and find out why theyonly allow payment at such a lengthy interval when it isn't in the best interest of his health.I will refund the $82.80 to Mr. [redacted] as a courtesy, since it is money that wasactually due to us for services rendered, but I understand Mr. [redacted] frustrations. Thisletter and all of the attached documentation clearly demonstrate there was no wrongdoingor erroneous billing done by our office and the money he's asking for isn't actuallywarranted.Please don't hesitate to call me for more information or with questions.Regards,
Lori N[redacted], DMD