ComplaintsforEast Columbus Oral Surgery Specialists and Facial Cosmetic and Skin Center

• Initial Complaint

  10/20/2022

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  My son *** ******* 02/09/2001 has his wisdom teeth removed by Dr. *** ****** in August of 2019, we went for the consultation, were given the amount we would owe after insurance. We had dual dental coverage. We paid the amount due. When we arrived for the surgery, we waited over 2 hours if I had known we would have billing issue and my son wasn't leaving for college right after we would have left. However we stayed, his teeth were removed and we left. In the end of December 2021, the week before Christmas we received a bill. It took me a couple of weeks to get an answer and they said our insurance paid everything but then took back a payment and now we had a balance due. It is unacceptable to me that that we were billed a year and a half later. We no longer had that dental insurance, no way for me to double check with the insurance to see what we owed. We never received anything from our insurance at the time stating we would owe a balance and I simply refuse to pay something I was unable to even check on with my insurance because it was not billed in a timely matter. Now the bill has been sent to collections, ruining the credit of my 21 yr old son who doesn't deserve it.

  Business response

  12/09/2022

  Our Insurance and Billing Coordinator has reviewed the patient file with the doctor. The claims we submitted for the patient were correct. We are contracted with both insurances and when applying write offs we apply the lowest contracted amount, which we did. The secondary insurance did not apply their payments per line item in accordance with primary insurance payment therefore, we resubmitted to secondary multiple times requesting updated EOBs to reflect our request. Resubmitting to the insurance company to obtain a correct EOB was a lengthy process deal with them during the pandemic. Secondary continued to process our request for corrected EOB as duplicate charges so therefore we applied Insurance payments in accordance with our contracted amounts. The patient did reach the calendar year maximum on both policies. Our Insurance and Billing Coordinator spoke with the patient’s mother on 1/17/22 concerning the balance due. We applied a credit of 266.00 to the patients account due to timely response from the Insurance company. There was a credit of $124.90 on a siblings account and the mother requested the credit to be applied to ***** account. After applying the credits there was a remaining balance of $157.37.  Mom requested a new statement and stated it may take couple of months to payoff. We did not receive  a patient payment after sending 6 statements over 6 months, so the account was put into collections, our collection fee was $25.00 however we waived our $25.00 collection fee. Due to the lengthy process of the insurance company with no response from them, the doctor has written off the remaining $157.37 balance on the patients account as a courtesy and has removed the patient from collections

  Customer response

  12/19/2022

  I accept the business's response to resolve this complaint.
  Regards,
  
  ******** *******

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