Insurance company overpaid dentist, dentist said, "No they didn't."

[Anonymous]

Anonymous wrote:Can you get the insurance company on the phone, then have them conference in the dental office. They can speak directly with you on the phone. I have had good luck with getting a lingering billing issue resolved this way.

+1 I would call every business day until this is resolved.

[Anonymous]

Anonymous wrote:I would skip all the niceties crap and let the dentist know you'll be reporting them to the appropriate authorities for insurance fraud unless they get this worked out with the insurance company in the next 30 days.

+1 I'd just give them 5 business days though. Also ask your insurance about what you can do to file a complaint with them against the dentist to have them cut ties with him, because he knows that he made the insurance company pay more and has no intention to correct it.

[Anonymous]

Anonymous wrote:Can you get the insurance company on the phone, then have them conference in the dental office. They can speak directly with you on the phone. I have had good luck with getting a lingering billing issue resolved this way.

I took your advice. When the billing person was on the phone with me, they were like, "We're not paying this. It's not our problem." When I called the insurance company and they patched in the billing agent, her tuned changed real quick. "Yes, Sir" this and, "Yes, Sir" that. The insurance company outlined (with me listening to everything and trying to muffle my laughter) the consequences of failing to pay the bill. They told the billing agent in the dental office that they will reach out to the dentist directly and explain the failure of his billing department. Billing agent caved, confirmed she's restoring the funds to the insurance company, and it's done.

Thank you for this advice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Can you get the insurance company on the phone, then have them conference in the dental office. They can speak directly with you on the phone. I have had good luck with getting a lingering billing issue resolved this way.

I took your advice. When the billing person was on the phone with me, they were like, "We're not paying this. It's not our problem." When I called the insurance company and they patched in the billing agent, her tuned changed real quick. "Yes, Sir" this and, "Yes, Sir" that. The insurance company outlined (with me listening to everything and trying to muffle my laughter) the consequences of failing to pay the bill. They told the billing agent in the dental office that they will reach out to the dentist directly and explain the failure of his billing department. Billing agent caved, confirmed she's restoring the funds to the insurance company, and it's done.

Thank you for this advice.

Damn. Good for you OP. My dentist have always said it’s standard practice for them to bill insurance a few times, with the first few bills being ignored/declined. After a few attempts, insurance would finally pony up. Sounds like your dentist was doing the same to them. Either way, bad customer service on both parts. Glad you got them both on the phone but it shouldn’t have had to be that way.

[Anonymous]

Great solution! I have been in this situation before and my HR department handled it with the insurance company and the provider.

[Anonymous]

sounds like you don’t have a backbone. this is why I’m a member of the NRA.

[Anonymous]

Anonymous wrote:sounds like you don’t have a backbone. this is why I’m a member of the NRA.

Sounds like you don't have a brain.