ComplaintsforOfir Orthodontics

• Initial Complaint

  05/08/2023

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  On 11/11/21 I took my son for an appointment for an evaluation for Orthodontics treatment at Ofir Orthodontics (from this point on = Office) contract signed (01.pdf).2022:Around March I brought to ****** attention that I was not seeing any claims from *****, she said she would look into it.5/5 I started receiving claims from ***** and realized the contracted amounts listed were significantly lower than contract I had signed. *****/***** said hold further payments and we can talk again on September.9/15 Spoke with ***** and *****. I once again brought the ***** contracted amount but I was not able to get anywhere. Then O?r came to talk with **, he mentioned his o?ce was doing everything by the book, that I could pay the remaining $2,500 and do the claims myself and have ***** reimburse me, when I did not agree he then said he was going to stop treatment. I told them I would call ***** to see if I was not interpreting the contracted amount correctly.9/22 I called *****, explained situation, they sent the Pre-Treatment request (02.pdf) and told me one option would be for me to ?le a complaint.12/6 I asked to have braces removed and received Financial History (03.pdf)2023 1/3 I called ***** to ?le complaint.1/30 ***** instructs Office to issue a refund for $1790.60 (04.pdf)2/16 Ofir Orthodontics submits additional claims 3/21 Cigna instructs Office to issue a refund for $1695.20 (05.pdf). 4/20 ***** called Office to ask for status, Office said check would be issued no later than end of month and mailed. 5 business days have passed I have not received a refund.If Office would have followed procedure which is contact ***** and then going over pre-treatment form with me in order to sign contract, this complaint could have been avoided. Instead Office chose to not contact ***** initially and once pre-treatment form was processed it was concealed, they chose to not honor the ***** contracted amounts and we are now in this predicament.

  Business response

  05/15/2023

  To whom it may concern,

  At Ofir Orthodontics, we strive to give our patients best treatment and customer service experience possible. Patient contracted terms needed to be reviewed before refund could be issued. Since it was a significant amount, ********** needed to do further research before refund could be issued. Once final refund was confirmed, we were gonna issue check toward end of April. Unfortunately, I had health issue that prevented me from attending the office toward end of April. My health was a private issue that my manage, *****, did not want to disclose. On 05/01 I did issue the check. As of 05/15, the check has not been cleared by patient. I did contact the patient, wondering if he has received the check. He confirmed receiving the check on May 8th. He confirmed he has not cashed the check. He said he will cash the check soon. 

  please let me know if you have further questions or clarifications.

  Customer response

  05/25/2023

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, check has 5/1/23 date, envelope shows 5/5/23 postmark I find that this resolution is satisfactory to me.
  
  Sincerely,
  
  ***************************

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