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Tribeca Dental Club

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Tribeca Dental Club Reviews (2)

On Jan. [redacted], 2014, we completed treatment on a post and crown for [redacted] which was promptly submitted the same day to 'Aetna', his insurance carrier. The total of the claim submitted was $2,450. Two weeks later, we received an 'Explanation of Benefits' from 'Aetna' stating that [redacted]...

[redacted] coverage had been terminated, retroactively from 12/**/13. I called [redacted] to speak with him in regards to the information which I received and his response was that he would call 'Aetna' to straighten it out. One month later, around the last week in February of 2014, I got a call from [redacted] and he stated that he had resolved the issue with his insurance and I should resubmit the claim, which I immediately did. Two weeks passed, mid March, I received another 'Explanation of Benefits' from 'Aetna' restating that [redacted] coverage had been terminated. Onc e again, I called [redacted] and after speaking with him, he again stated that he would contact 'Aetna'. I told [redacted] that I would wait (30) days and then check with 'Aetna' before taking any action; I waited (1) month before calling, which was mid April. The 'Aetna' service representative said that there had been no changes, coverage was still retroactively terminated. At that time, I sent [redacted] a final statement and waited an additional (30) days before sending his account to collections May [redacted], 2014. After receiving multiple EOB's stating coverage was terminated and speaking to an 'Aetna' representative with no resolution, we were forced to take action. Later, on July [redacted], 2014, we were surprised to receive a payment from 'Aetna' for $1,205, close to 50% of the overdue balance. The very next day, [redacted] called to inform me that he had also made payment of his debt to the collection agency as w ell. I told him that I had not yet been informed nor had I received any payments from the collection agency; however, once I did, I would be happy to refund him any overpayments which may be due to him. When we received payment from the collection agency for $1,592.50, we promptly sent [redacted] a check of $347.50, after subtracting the $857 in fees we were forced to pay to the agency for the collection of the debt on August [redacted].

Review: The dental office sent my bill to a collection agency after I informed them that I had difficulties getting my insurance company to honor the claim. I was assured by the office that they would hold off sending the bill to a collection agency;however it was sent. I paid the bill in full to the collection agency. My insurance company sent the dentist office the claim amount. I spoke with the dentist office and was assured that I would receive a check for the claim amount paid to them. However I received a check that was $900 less than what my insurance company paid them. I was informed that the $900 was retained to cover the cost to sell the debt and that I would not receive the remaining balance of $900.Desired Settlement: I would like to receive the $900 that is owed to me.

Business

Response:

On Jan. [redacted], 2014, we completed treatment on a post and crown for [redacted] which was promptly submitted the same day to 'Aetna', his insurance carrier. The total of the claim submitted was $2,450. Two weeks later, we received an 'Explanation of Benefits' from 'Aetna' stating that [redacted] coverage had been terminated, retroactively from 12/**/13. I called [redacted] to speak with him in regards to the information which I received and his response was that he would call 'Aetna' to straighten it out. One month later, around the last week in February of 2014, I got a call from [redacted] and he stated that he had resolved the issue with his insurance and I should resubmit the claim, which I immediately did. Two weeks passed, mid March, I received another 'Explanation of Benefits' from 'Aetna' restating that [redacted] coverage had been terminated. Onc e again, I called [redacted] and after speaking with him, he again stated that he would contact 'Aetna'. I told [redacted] that I would wait (30) days and then check with 'Aetna' before taking any action; I waited (1) month before calling, which was mid April. The 'Aetna' service representative said that there had been no changes, coverage was still retroactively terminated. At that time, I sent [redacted] a final statement and waited an additional (30) days before sending his account to collections May [redacted], 2014. After receiving multiple EOB's stating coverage was terminated and speaking to an 'Aetna' representative with no resolution, we were forced to take action. Later, on July [redacted], 2014, we were surprised to receive a payment from 'Aetna' for $1,205, close to 50% of the overdue balance. The very next day, [redacted] called to inform me that he had also made payment of his debt to the collection agency as w ell. I told him that I had not yet been informed nor had I received any payments from the collection agency; however, once I did, I would be happy to refund him any overpayments which may be due to him. When we received payment from the collection agency for $1,592.50, we promptly sent [redacted] a check of $347.50, after subtracting the $857 in fees we were forced to pay to the agency for the collection of the debt on August [redacted].

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Description: DENTAL HYGIENISTS

Address: 123 Chambers Street, New York, New York, United States, 10005

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