Pediatric Dentistry & Orthodontic Specialists

The children have been patients in our practice for years, and this is an excellent family The crux of the problem lies with the family having a new insurance carrier and our staff submitting a claim to the parents’ carrier of record By the time the prior carrier denied the service, the request had been resubmitted and then paid by their new carrier; two months had elapsed The parents were understandably frustratedIt is unfortunate, but as healthcare professionals, we deal with the mendacity of insurance companies on a daily basis.Insurance carriers are adept at withholding or delaying payment and blaming the healthcare provider.And, patients are under the assumption that it is the dentists’ responsibility to submit their insurance forms.A dentist is only required to hand the patient a bill for services It is the patient’s responsibility to request remittance An office is providing an unreimbursed service when it files a patient’s insurance claim, relieving them of the burdened of filling out complex formsAlso, we appreciate the father’s annoyance at not having the chance to speak with one of the doctors It is our policy to confront all problem that may arise We have reached out to the parents to determine with whom they spoke We are confident resolution has been achieved with the late remittance from their new carrier

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below Regards, [redacted] This business is very unprofessional in that (1) They allegedly took more X-rays for [redacted] charging us $56, which was done without our permissionNamely, we asked them to take X-ray only fully covered by our insurance as preventive care (as such, it was supposed to be free of charge)Moreover, they confirmed that there would not be any charge for the service beforehandEven so they allegedly ( Such additional X-ray films were not shown to us at all) took more X-rays without permission (even claimed that they did it as a professional service for patient???); (2) Further, they took another X-ray for [redacted] which was clearly not asked forIn other words, because [redacted] took an X-ray in the summer, therefore in October we clearly asked them not to take any X-rayHowever, they took X-ray and charged us $(after adjusted as an in-network price, then $46) anyway, still claiming it was done as a professional treatment??? As they responded, the $for the X-ray was already paid by my insurance Therefore, I need refund of $for [redacted] and removal of $for [redacted] in the bill

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
Regards,
[redacted]
This business is very unprofessional in that (1) They allegedly took 2 more X-rays for [redacted] charging us $56, which was done without our permission. Namely, we asked them to take X-ray only fully covered by our insurance as preventive care (as such, it was supposed to be free of charge). Moreover, they confirmed that there would not be any charge for the service beforehand. Even so they allegedly ( Such additional X-ray films were not shown to us at all) took 2 more X-rays without permission (even claimed that they did it as a professional service for patient???). ; (2) Further, they took another X-ray for [redacted] which was clearly not asked for. In other words, because [redacted] took an X-ray in the summer, therefore in October we clearly asked them not to take any X-ray. However, they took X-ray and charged us $64 (after adjusted as an in-network price, then $46) anyway, still claiming it was done as a professional treatment???  As they responded,  the $64 for the X-ray was already paid by my insurance.   Therefore, I need refund of $46 for [redacted]  and removal of $36 for [redacted] in the bill.

The children have been patients in our practice for years, and this is an excellent family.  The crux of the problem lies with the family having a new insurance carrier and our staff submitting a claim to the parents’ carrier of record.  By the time the prior carrier denied the...

service, the request had been resubmitted and then paid by their new carrier; two months had elapsed.  The parents were understandably frustrated. It is unfortunate, but as healthcare professionals, we deal with the mendacity of insurance companies on a daily basis.Insurance carriers are adept at withholding or delaying payment and blaming the healthcare provider.And, patients are under the assumption that it is the dentists’ responsibility to submit their insurance forms.A dentist is only required to hand the patient a bill for services.  It is the patient’s responsibility to request remittance.  An office is providing an unreimbursed service when it files a patient’s insurance claim, relieving them of the burdened of filling out complex forms. Also, we appreciate the father’s annoyance at not having the chance to speak with one of the doctors.  It is our policy to confront all problem that may arise.  We have reached out to the parents to determine with whom they spoke.  We are confident resolution has been achieved with the late remittance from their new carrier.

We have communicated with the gentleman personally and for [redacted] reasons can no longer have discourse on Social Media or with the Revdex.com.