ComplaintsforShawano Dental Clinic
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Complaint Details
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Initial Complaint
09/06/2024
- Complaint Type:
- Product Issues
- Status:
- Answered
Paid money for dental services and they also collected money from insurance company Dental Dental.Business response
09/14/2024
Patient made an initial visit to our office on July 31, 2024 for a comprehensive exam, full-mouth radiographs, and a prophylaxis.
He is insured by Delta Dental. We are not an in-network provider with Delta Dental, as was discussed with patient on the initial phone call he made to us to schedule the appointment.
Per Delta Dental's own cover letter, their website, and as a means of discouraging patients from visiting out-of-network providers, patients are advised by Delta Dental that they need to pay for services directly to the provider. The patient is instructed to then submit an insurance claim form in order to be reimbursed, per terms of their policy. Routinely, Delta Dental then reimburses the patient directly. On occasion, however, Delta Dental lumps several claims together and sends a single check to the business office which we then in turn will refund to the patients. Patient was informed of this at his initial visit as well as during a subsequent phone call, prior to us having received his reimbursement check.
As a convenience, we do submit insurance claim forms for all of our patients, and also extend a 10% courtesy discount for payments made in full at the time of service.
We submitted his insurance claim on July 31, 2024, the same day as his initial visit to our office.Patient called our office on Sep 3, 2024 at approximately 1:00 pm to tell us he received an *** stating that Delta paid us. We had not received it yet as of that phone call.
We received a lump-sum check from Delta Dental on Sept 4, 2024, with his reimbursement portion being $102.40
We issued him a refund check via postal mail, in the amount of $102.40 on September 9, 2024, the Dr.'s first day back in the office after receiving the check.
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BBB Rating & Accreditation
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Customer Complaints Summary
1 total complaints in the last 3 years.
1 complaints closed in the last 12 months.