Legacy Dental

Initial Business Response / [redacted] (1000, 5, 2016/06/22) */ After explaining to the patient with thorough details of the treatment necessary and completed, I passed along his response to DrUeber Patient then proceeded to post negative reviews online, of which we tried to avoid during the time of taking care of issue one on one with patient Patient was persistent, therefore leaving no choice but to have DrUeber write off balance on account

Initial Business Response / [redacted] (1000, 13, 2017/12/28) */ First of all we are not in network with [redacted] and never have beenWe do however file insurance for our patients regardless if we are in or out of network.Often some insurance plans pay the same amount or close to it whether the provider is in or out of networkWe are only in network with companies but we file for thousands of plans and get compensation for our patientsWe are not legally obligated to file any insurance for our patients,we are only required to give them a statement with the code numbers so they can file it for themselvesBut we do file all claims as a service to our patientsMr [redacted] had a cleaning,full set of xrays,fluoride treatment, and an exam in July The charges for those services was $He paid us $but had a online discount coupon which gave him a credit of $151.We refunded Mr [redacted] $which brought his balance to zeroWe had filed his claim with insurance and they paid $We refunded Mr [redacted] the $which insurance paidSo we were paid $ for $worth of servicesIn October of 2016, Mr [redacted] had crown work done at a fee of $He did not return for delivery of his crown for monthsHe then paid for his crownMy staff battled with his insurance company [redacted] for months and countless hours to get payment for his crown [redacted] on different occasions said they had not received a claim but on every occasion we provided them with a reference number and they found claim [redacted] did everything possible to not pay the claim but finally paid $352.51,which was refunded to Mr ***Bottom line,patients are legally 100% responsible for payment of services regardless if they have insurance or notMy staff worked very hard for months with documented contacts with [redacted] trying to help out Mr [redacted] who continually was rude to them on the phoneWith all the hours put in by my fantastic staff to help Mr [redacted] our company lost money providing his dental serviceWe are not in network with [redacted] and are not under any contractual obligations with them [redacted] is by far one of the worst insurance companies out there, and there is no way in [redacted] our office will ever be associated with themWe refuse to refund any money to Mr [redacted] as we have no contract with [redacted] Besides that Mr [redacted] profited $for services we provided July from [redacted] I don't think that's legal Sincerely, [redacted] J [redacted] DDS Initial Consumer Rebuttal / [redacted] (3000, 15, 2017/12/28) */ (The consumer indicated he/she DID NOT accept the response from the business.) They told me they accepted care source Wasnt a problem first time Then next time they out of network without warning I cant control what insurance does I paid full amount after a year of unsuccessful claims Then insurance paid 1/cost and said rest was of claim was not covered

Initial Business Response / [redacted] (1000, 13, 2017/12/28) */ First of all we are not in network with [redacted] and never have beenWe do however file insurance for our patients regardless if we are in or out of network.Often some insurance plans pay the same amount or close to it whether the provider is in or out of networkWe are only in network with companies but we file for thousands of plans and get compensation for our patientsWe are not legally obligated to file any insurance for our patients,we are only required to give them a statement with the code numbers so they can file it for themselvesBut we do file all claims as a service to our patientsMr [redacted] had a cleaning,full set of xrays,fluoride treatment, and an exam in July The charges for those services was $He paid us $but had a online discount coupon which gave him a credit of $151.We refunded Mr [redacted] $which brought his balance to zeroWe had filed his claim with insurance and they paid $We refunded Mr [redacted] the $which insurance paidSo we were paid $for $worth of servicesIn October of 2016, Mr [redacted] had crown work done at a fee of $He did not return for delivery of his crown for monthsHe then paid for his crownMy staff battled with his insurance company [redacted] for months and countless hours to get payment for his crown [redacted] on different occasions said they had not received a claim but on every occasion we provided them with a reference number and they found claim [redacted] did everything possible to not pay the claim but finally paid $352.51,which was refunded to Mr ***Bottom line,patients are legally 100% responsible for payment of services regardless if they have insurance or notMy staff worked very hard for months with documented contacts with [redacted] trying to help out Mr [redacted] who continually was rude to them on the phoneWith all the hours put in by my fantastic staff to help Mr [redacted] our company lost money providing his dental serviceWe are not in network with [redacted] and are not under any contractual obligations with them [redacted] is by far one of the worst insurance companies out there, and there is no way in [redacted] our office will ever be associated with themWe refuse to refund any money to Mr [redacted] as we have no contract with [redacted] Besides that Mr [redacted] profited $for services we provided July from [redacted] I don't think that's legalSincerely, [redacted] J [redacted] DDS Initial Consumer Rebuttal / [redacted] (3000, 15, 2017/12/28) */ (The consumer indicated he/she DID NOT accept the response from the business.) They told me they accepted care sourceWasnt a problem first timeThen next time they out of network without warningI cant control what insurance doesI paid full amount after a year of unsuccessful claimsThen insurance paid 1/cost and said rest was of claim was not covered

Initial Business Response /* (1000, 5, 2017/02/23) */
We personally reached out to the patient and requested more information from herShe told me that she would call the week of 2/to provide requested information to us in order for us to move forward and further discuss the complaintAt
this time, we still have not heard from patient

Initial Business Response /* (1000, 13, 2017/12/28) */
First of all we are not in network with *** and never have beenWe do however file insurance for our patients regardless if we are in or out of network.Often some insurance plans pay the same amount or close to it whether the provider
is in or out of networkWe are only in network with companies but we file for thousands of plans and get compensation for our patientsWe are not legally obligated to file any insurance for our patients,we are only required to give them a statement with the code numbers so they can file it for themselvesBut we do file all claims as a service to our patientsMr *** had a cleaning,full set of xrays,fluoride treatment, and an exam in July The charges for those services was $He paid us $but had a online discount coupon which gave him a credit of $151.We refunded Mr *** $which brought his balance to zeroWe had filed his claim with insurance and they paid $We refunded Mr *** the $which insurance paidSo we were paid $ for $worth of servicesIn October of 2016, Mr *** had crown work done at a fee of $He did not return for delivery of his crown for monthsHe then paid for his crownMy staff battled with his insurance company *** for months and countless hours to get payment for his crown*** on different occasions said they had not received a claim but on every occasion we provided them with a reference number and they found claim*** did everything possible to not pay the claim but finally paid $352.51,which was refunded to Mr ***Bottom line,patients are legally 100% responsible for payment of services regardless if they have insurance or notMy staff worked very hard for months with documented contacts with *** trying to help out Mr *** who continually was rude to them on the phoneWith all the hours put in by my fantastic staff to help Mr *** our company lost money providing his dental serviceWe are not in network with *** and are not under any contractual obligations with them*** is by far one of the worst insurance companies out there, and there is no way in *** our office will ever be associated with themWe refuse to refund any money to Mr *** as we have no contract with ***Besides that Mr *** profited $for services we provided July from ***I don't think that's legal Sincerely, *** J *** DDS
Initial Consumer Rebuttal /* (3000, 15, 2017/12/28) */
(The consumer indicated he/she DID NOT accept the response from the business.)
They told me they accepted care source Wasnt a problem first time Then next time they out of network without warning I cant control what insurance does I paid full amount after a year of unsuccessful claims Then insurance paid 1/cost and said rest was of claim was not covered

Initial Business Response /* (1000, 5, 2017/02/23) */
We personally reached out to the patient and requested more information from her She told me that she would call the week of 2/to provide requested information to us in order for us to move forward and further discuss the complaint At
this time, we still have not heard from patient

Initial Business Response /* (1000, 5, 2016/06/22) */
After explaining to the patient with thorough details of the treatment necessary and completed, I passed along his response to DrUeber
Patient then proceeded to post negative reviews online, of which we tried to avoid during the time of
taking care of issue one on one with patient
Patient was persistent, therefore leaving no choice but to have DrUeber write off balance on account

Initial Business Response /* (1000, 5, 2016/06/22) */
After explaining to the patient with thorough details of the treatment necessary and completed, I passed along his response to DrUeber
Patient then proceeded to post negative reviews online, of which we tried to avoid during the time of
taking care of issue one on one with patient
Patient was persistent, therefore leaving no choice but to have DrUeber write off balance on account

Initial Business Response /* (1000, 13, 2017/12/28) */
First of all we are not in network with [redacted] and never have been. We do however file insurance for our patients regardless if we are in or out of network.Often some insurance plans pay the same amount or close to it whether the provider...

is in or out of network. We are only in network with 2 companies but we file for thousands of plans and get compensation for our patients. We are not legally obligated to file any insurance for our patients,we are only required to give them a statement with the code numbers so they can file it for themselves. But we do file all claims as a service to our patients. Mr [redacted] had a cleaning,full set of xrays,fluoride treatment, and an exam in July 2016. The charges for those services was $294. He paid us $222 but had a online discount coupon which gave him a credit of $151.We refunded Mr [redacted] $79 which brought his balance to zero. We had filed his claim with insurance and they paid $126. We refunded Mr [redacted] the $126 which insurance paid. So we were paid $143 for $294 worth of services. In October of 2016, Mr [redacted] had crown work done at a fee of $1064. He did not return for delivery of his crown for 10 months. He then paid for his crown. My staff battled with his insurance company [redacted] for 11 months and countless hours to get payment for his crown. [redacted] on 5 different occasions said they had not received a claim but on every occasion we provided them with a reference number and they found claim. [redacted] did everything possible to not pay the claim but finally paid $352.51,which was refunded to Mr [redacted]. Bottom line,patients are legally 100% responsible for payment of services regardless if they have insurance or not. My staff worked very hard for 11 months with 25 documented contacts with [redacted] trying to help out Mr [redacted] who continually was rude to them on the phone. With all the hours put in by my fantastic staff to help Mr [redacted] our company lost money providing his dental service. We are not in network with [redacted] and are not under any contractual obligations with them. [redacted] is by far one of the worst insurance companies out there, and there is no way in [redacted] our office will ever be associated with them. We refuse to refund any money to Mr [redacted] as we have no contract with [redacted]. Besides that Mr [redacted] profited $126 for services we provided July 2016 from [redacted]. I don't think that's legal. Sincerely, [redacted] J [redacted] DDS
Initial Consumer Rebuttal /* (3000, 15, 2017/12/28) */
(The consumer indicated he/she DID NOT accept the response from the business.)
They told me they accepted care source. Wasnt a problem first time. Then next time they out of network without warning. I cant control what insurance does. I paid full amount after a year of unsuccessful claims. Then insurance paid 1/3 cost and said rest was of claim was not covered