Triad Oral Surgery

Initial Business Response / [redacted] (1000, 24, 2016/02/19) */ Contact Name and Title: Aleisha A [redacted] Contact Phone: [redacted] Contact Email: [redacted] @triadoralsurgery.com Dear Sirs, Mr [redacted] arrived to Asheboro Oral Surgery March 24th, after being referred by his primary dentistA pre-operative radiograph was taken in our office on March 24thDrS [redacted] examined the radiograph during a discussion with Mr [redacted] regarding the appropriate treatment needsAfter DrS [redacted] and Mr [redacted] confirmed the appropriate treatment, the dental assistant entered the room and began to present Mr [redacted] with the financial cost of the proposed treatment plan, including a consultation feeWe called to obtain a summary of dental insurance coverage and were advised by Mr [redacted] ' insurance company that the plan had exhausted maximum payment of insurance benefits, therefore the consultation and any other charges incurred would have been an out of pocket expense for Mr [redacted] However, the assistant was unable to complete the financial review due to Mr [redacted] ' declination treatment and abandoning the appointmentHe left the office without settling his account for the March 24th visitWe did however file Mr [redacted] ' insurance as a courtesy to the patientThe insurance declined any paymentMr [redacted] was mailed monthly statements on approximately 15th of each month from March to November During this time there were no payments made toward the outstanding balance on his accountUnfortunately, this account has been referred to a third party billing agency due to non-payment Aleisha A [redacted] Office Manager [redacted] @triadoralsurgery.com www.triadoralsurgery.com

Initial Business Response /* (1000, 24, 2016/02/19) */
Contact Name and Title: Aleisha A***
Contact Phone: ***
Contact Email: ***@triadoralsurgery.com
Dear Sirs,
Mr*** arrived to Asheboro Oral Surgery March 24th, after being referred by his primary dentistA
pre-operative radiograph was taken in our office on March 24thDrS*** examined the radiograph during a discussion with Mr*** regarding the appropriate treatment needsAfter DrS*** and Mr*** confirmed the appropriate treatment, the dental assistant entered the room and began to present Mr*** with the financial cost of the proposed treatment plan, including a consultation feeWe called to obtain a summary of dental insurance coverage and were advised by Mr***' insurance company that the plan had exhausted maximum payment of insurance benefits, therefore the consultation and any other charges incurred would have been an out of pocket expense for Mr***However, the assistant was unable to complete the financial review due to Mr***' declination treatment and abandoning the appointmentHe left the office without settling his account for the March 24th visitWe did however file Mr***' insurance as a courtesy to the patientThe insurance declined any paymentMr*** was mailed monthly statements on approximately 15th of each month from March to November During this time there were no payments made toward the outstanding balance on his accountUnfortunately, this account has been referred to a third party billing agency due to non-payment
Aleisha A***
Office Manager
***@triadoralsurgery.com
www.triadoralsurgery.com

Initial Business Response /* (1000, 24, 2016/02/19) */
Contact Name and Title: Aleisha A[redacted]
Contact Phone: [redacted]
Contact Email: [redacted]@triadoralsurgery.com
Dear Sirs,
Mr. [redacted] arrived to Asheboro Oral Surgery March 24th, 2015 after being referred by his primary dentist. A...

pre-operative radiograph was taken in our office on March 24th. Dr. S[redacted] examined the radiograph during a discussion with Mr. [redacted] regarding the appropriate treatment needs. After Dr. S[redacted] and Mr. [redacted] confirmed the appropriate treatment, the dental assistant entered the room and began to present Mr. [redacted] with the financial cost of the proposed treatment plan, including a consultation fee. We called to obtain a summary of dental insurance coverage and were advised by Mr. [redacted]' insurance company that the plan had exhausted maximum payment of insurance benefits, therefore the consultation and any other charges incurred would have been an out of pocket expense for Mr. [redacted]. However, the assistant was unable to complete the financial review due to Mr. [redacted]' declination treatment and abandoning the appointment. He left the office without settling his account for the March 24th visit. We did however file Mr. [redacted]' insurance as a courtesy to the patient. The insurance declined any payment. Mr. [redacted] was mailed monthly statements on approximately 15th of each month from March 2015 to November 2015. During this time there were no payments made toward the outstanding balance on his account. Unfortunately, this account has been referred to a third party billing agency due to non-payment.

Aleisha A[redacted]
Office Manager
[redacted]@triadoralsurgery.com
www.triadoralsurgery.com