LifeMap Assurance Company

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meHowever, I did not receive any EOBs for the breakdown and disbursement of the total amount of the check for my recordsSincerely, [redacted] , DMD

Thank you for providing details of your concerns regarding the payment of your patients’ dental insurance claims by LifeMap Assurance Company (LifeMap). Upon receipt of your complaint, LifeMap investigated the handling of all the claims for your practice in 2016 and discovered a negative balance...

error that had caused automatic recoupment on your account.   The first claim in question was paid on March 11, 2016. As indicated in your complaint, we had erroneously sent the payment with a check for another provider whose name is similar to yours, save for the middle initial, and whose practice has a similar location to yours, save for the suite number. The same error also occurred with the claim payments sent on March 31, 2016, April 8, 2016, and May 20, 2016.   Upon discovery of this error, LifeMap updated the system to reflect the correct information for you and the other provider and reprocessed the claims. However, while these claims were in process, we received the returned checks from you.   As the claims had already been reprocessed, the returned checks caused there to be double negative adjustments on your account. Our system is set up to recoup any negative balance from the next claim payment automatically. As such, when we received subsequent claims for your patients, the system automatically withheld payment in order to recoup the negative balance.   LifeMap reprocessed all the claims for your practice that had been affected by the recoupment and ensured that your account did not show a negative balance. We mailed a payment to you for the correct amount owed for all claims on February 24, 2017.   We regret that the error of merging payments to your practice with the other provider’s practice caused an incorrect negative balance and recoupments on your account. However, once we received this complaint, we made every effort to review and adjust benefits due as quickly as possible.    We hope that the corrected payment will assist in reconciling the issue and that this information will answer your concerns.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. However, I did not receive any EOBs for the breakdown and disbursement of the total amount of the check for my records. Sincerely,
[redacted], DMD