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ComplaintsforGreen Bay Smiles
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Complaint Details
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Initial Complaint
05/21/2024
- Complaint Type:
- Product Issues
- Status:
- Answered
We have a credit at this dentist for $300+ and we cant get a refund issued. The service was in January and we were required to pay at time of service even though we had insurance. We paid, insurance paid, so the dentist has been paid twice. Every time I call to ask status I am told they need to contact central billing and will call back. They have never called back. We just would like our money returned at this time. I assume that **************** is unaware this is going on as she doesnt seem like the type of business owner who would operate this way. What ever/whomever central billing is is the issue. When I call, no one disputes there is a credit yet no one seems to be able to resolve. Any assistance to bring attention to our situation would be appreciated.Business response
06/04/2024
The office staff and myself have tried to reach out to ******* several times to explain her account status. Her families insurance is a complicated one because there are different plans between herself and her son. Our office is an "in-network" provided for her insurance carrier and therefor accept a lower reimbursement rate for services rendered. When her families claims were filed with the insurance company, they paid the office out of network benefits which is a higher amount than expected. We has a contracted provider for them, can't take higher fee's than the contracted rate by law so we notified the insurance carrier they paid out of network benefits when in should of been the lower fee in network benefits. The insurance carrier then sent a payment for the lower in network fee's for services rendered which appeared to give the patient a credit. A office personal was not understanding the situation with the insurance carrier paying incorrect benefits and mistakingly informed ******* she had a credit when in fact she actually has a balance of $39.50 for her family file once the out of network payment was refunded to her insurance carrier. ******* is a great patient and we are trying to explain the situation over the phone because it's all a misunderstanding and a simple fix once she will return my call. We are more than willing to walk ******* through the over payment situation with her over the phone, or in person at the office anytime. We are also more than willing to jump on the phone with her and the insurance company at the same time so she can also hear the explanation from her insurance company so she better understands how this happened and that she truly doesn't have a credit. Feel free to reach out to us for any further details.
Thank you,
*********;
Green Bay Smiles
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BBB Rating & Accreditation
This business is not BBB Accredited
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Customer Complaints Summary
1 total complaints in the last 3 years.
1 complaints closed in the last 12 months.