ComplaintsforMV kids dentists & Braces

• Initial Complaint

  09/19/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Date of the incident 07/23/2022: I was asked to pay $400.00 which I did. Before taking******* to the dentist we asked the front desk several times that If they take our insurance fully. They said they do and asked us to pay $400 and told us once they claim the money to our insurance then the insurance will send us the $400 dollar check back. I got a check from the insurance for only about $142.00 and when I called my insurance they said that specific dentist is not part of the insurance and they told us wrong that they fully take the insurance. Insurance person told me to call them back and ask for a reimbursement. I call the dentist office. The front desk person told me that no one told us that they fully take our insurance and we have to eat the extra cost. I asked to speak to a manager and conveniently the manager was on vacation for 2 weeks. So my complaint is that the dentist office lied to us to get us in the office and charged us extra under the false pretenses of being fully covered. When we asked to resolve a solution the "person to help us" manager was on vacation. we would like the $258.00 refunded back please.

  Business response

  10/24/2022

  Business Response /* (1000, 5, 2022/10/05) */ Please note the following quote at as stated in the new patient form under Financial agreement to which the responsible party has signed. This information must be agreed upon and signed before entering patient information. We will be happy to send you the copy of the agreement with your signed signature. "Please be advised that we are a third party, we are not in contract with any insurance, and we are not your insurance policy holders. When you present to us your insurance information, we will try our best to verify your insurance information as accurately as possible, based on the information we receive from the particular insurance representative at the time of the phone conversation, and/or the information available on the insurance website at the time of the insurance verification. Please be mindful that we are not responsible for any change and modification to your insurance coverage that may occur at any time apart from the time of our insurance verification. We are also not to be held responsible for any incorrect information presented by your insurance representative. We cannot guarantee coverage due to the complexity of insurance contracts. We will prepare and file claims to you as a courtesy." "Co-Payments As a pediatric-orthodontic specialist office, we have our own UCR (Usual, Customary and Reasonable) fees for all dental services offered in the office. As we are not a contracted insurance entity, our fee is not necessarily the same as your insurance accepted fee. There may be an out of pocket fee for the difference between your insurance accepted fees and our UCR fees. Your estimated patient portion must be paid at the time of service. We accept payment through Visa, MasterCard, American Express, check, and cash payments. Any payment received from your insurance plan will be credited towards your account. Although we make every effort to collect payment from your insurance, we are not responsible for how your insurance company handles its claims or for what benefits they choose to pay on each claim." Our service fee on the date of service 07/23/22 is $815. As shown in insurance letter, the patient responsibility is $672.20 and you received 142.80 back. We only collected $400 from you out of 672.20. We have waived the remaining 272.20 balance. So therefore, there is no remaining credit to refund.

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩