ComplaintsforLongleaf Dentistry

• Initial Complaint

  12/11/2021

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  This dentist practice charges for services prior to them being performed. Further they charge for services without knowing if they will be able to be performed. They do not submit all charges to the insurance company and make you pay out of pocket for chargers that should have been a reimbursable. After spending hours reconciling a past bill they sent me a reimbursement for $638.40. Since I received the reimbursement I heard no more from this company. I called to cancel a future appointment and then received a bill, please see attached, that is more than 90 day overdue. This is the exact charge they reimbursed me for a couple of months back. I have spent hours with them, my insurance company and personally reconciling this bill. I would like to request the Better Business Bureau's assistance in helping me resolve this matter to zero out this charge that is not due and to receive an invoice showing that I owe nothing further.

  Business response

  12/20/2021

  Business Response /* (1000, 5, 2021/12/20) */ We did not expect the insurance company to pay for the services provided. We informed the patient accordingly. The patient called the insurance company, and, as usual, they claimed that they would pay for the procedure. The patient asked for us to refund her money and for us to wait on the insurance company to pay us. We complied. As usual, the insurance company never paid us. The amount owed is exactly what we told the patient that the insurance would not pay. The insurance is the entity that she has a grievance with. They are the ones that changed their story, not us. Consumer Response /* (3000, 7, 2021/12/20) */ After reading the response from the dentist office, I spoke with ************ at 5:12 p.m. on 12/20/2021 and they confirm they do, in fact, cover for the $636 charge. They have never received a submission for reimbursement from the dental office for this service. The dental office needs to submit the claim to the dental insurance company for consideration of reimbursement. As this is a covered service under the accepted dental plan, I will only be contracted to pay the contracted amount, not the billed amount. This case is not closed. I continue to go in circles with this dentist office on their finance procedures. Business Response /* (4000, 16, 2022/01/03) */ We submitted that claim digitally on 07/14/2021. Since you are saying that they are claiming to have never received it, I will mail it in. We never got paid for the claim, and ***** told us they weren't going to pay for that procedure, so the standard protocol would be that the bill becomes the patient's responsibility. This is something that is done at all doctor's offices. We aren't trying to do something fishy or collect more money than we were owed. We will try with ***** again, but if they don't pay, then the balance is owed by the patient.

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