TEDDY BEAR DENTAL IRVINE FRAUD BILLING IRVINE California
I called to make an appointment with Teddy Bear Dental. I had the office lady verify they were part of my PPO plan. She did verify and I took my daughter in for cleanings. We went back twice...every 6 months for almost 2 years until a few months ago I received a notice stating that we owed for the last 2 years because they weren't a preffered provider for my insurance. I was never notified of the changes to the dentist contract with my insurance. The new billing lady claims that they placed a note in the office on the counter...the same counter they sell vitamins and toothpaste....but never actually notified their patients. I have requested for all charges to be waived, but Helena the new billing Manager refuses to be reasonable and has since placed the bills into a collection agency with an additional fee of $195+ the billing for 3 dental cleanings and x-rays.
Irvine mom of 2
Irvine, California
U.S.A.
4 Updates & Rebuttals
Front Office
Irvine,California,
U.S.A.
Deductible
#5UPDATE Employee
Mon, May 11, 2009
Insurance company always sends the enrollees a booklet that list in network providers when it's time for opening enrollment each year. As for the office, we have the notification letter of change in PPO participation at the front desk's counter for the parents to read when they check in for their children.
Patient's insurance plan started on July 1st thru June 30th each year, not like a calendar year where it started from January 1st thru December 30th. Patient's routine check up is covered 100%; however, the deductible is not waived under the preventive. Patient's parents would receive the EOB (Explanation of Benefit) from the insurance company after each visit. On the EOB would state the participant's responsibility and explain where the balance came from. It is illegal and insurance's fraud to waive off the deductible. What the patient's parent asks the office to do is not reasonable and illegal.
The office is not responsible for the collection fees. The office always send out the statements, a 3 months late letter, and lastly, the collection letter to the patient before we placed the patient's account to the collection agency. The whole process takes about 5-6 months.
Front Office
Irvine,California,
U.S.A.
Deductible
#5UPDATE Employee
Mon, May 11, 2009
Insurance company always sends the enrollees a booklet that list in network providers when it's time for opening enrollment each year. As for the office, we have the notification letter of change in PPO participation at the front desk's counter for the parents to read when they check in for their children.
Patient's insurance plan started on July 1st thru June 30th each year, not like a calendar year where it started from January 1st thru December 30th. Patient's routine check up is covered 100%; however, the deductible is not waived under the preventive. Patient's parents would receive the EOB (Explanation of Benefit) from the insurance company after each visit. On the EOB would state the participant's responsibility and explain where the balance came from. It is illegal and insurance's fraud to waive off the deductible. What the patient's parent asks the office to do is not reasonable and illegal.
The office is not responsible for the collection fees. The office always send out the statements, a 3 months late letter, and lastly, the collection letter to the patient before we placed the patient's account to the collection agency. The whole process takes about 5-6 months.
Front Office
Irvine,California,
U.S.A.
Deductible
#5UPDATE Employee
Mon, May 11, 2009
Insurance company always sends the enrollees a booklet that list in network providers when it's time for opening enrollment each year. As for the office, we have the notification letter of change in PPO participation at the front desk's counter for the parents to read when they check in for their children.
Patient's insurance plan started on July 1st thru June 30th each year, not like a calendar year where it started from January 1st thru December 30th. Patient's routine check up is covered 100%; however, the deductible is not waived under the preventive. Patient's parents would receive the EOB (Explanation of Benefit) from the insurance company after each visit. On the EOB would state the participant's responsibility and explain where the balance came from. It is illegal and insurance's fraud to waive off the deductible. What the patient's parent asks the office to do is not reasonable and illegal.
The office is not responsible for the collection fees. The office always send out the statements, a 3 months late letter, and lastly, the collection letter to the patient before we placed the patient's account to the collection agency. The whole process takes about 5-6 months.
Front Office
Irvine,California,
U.S.A.
Deductible
#5UPDATE Employee
Mon, May 11, 2009
Insurance company always sends the enrollees a booklet that list in network providers when it's time for opening enrollment each year. As for the office, we have the notification letter of change in PPO participation at the front desk's counter for the parents to read when they check in for their children.
Patient's insurance plan started on July 1st thru June 30th each year, not like a calendar year where it started from January 1st thru December 30th. Patient's routine check up is covered 100%; however, the deductible is not waived under the preventive. Patient's parents would receive the EOB (Explanation of Benefit) from the insurance company after each visit. On the EOB would state the participant's responsibility and explain where the balance came from. It is illegal and insurance's fraud to waive off the deductible. What the patient's parent asks the office to do is not reasonable and illegal.
The office is not responsible for the collection fees. The office always send out the statements, a 3 months late letter, and lastly, the collection letter to the patient before we placed the patient's account to the collection agency. The whole process takes about 5-6 months.