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

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

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[quote=Anonymous]Send a letter in writing.  Personally I would send it certified.

Document the situation including the date of the erroneous procedure.  Include a copy of the EOB that was sent to you by the insurance company.  Explain that the insurance company is withholding benefits from you due to his clerical error and that you need it to be remedied immediately.  If it is not remedied by X date, you will file a claim in small claims court for the amount that you need to reimburse the dentist, any premiums that you are paying for the period from when you were notified benefits were suspended until resolution (since you are paying for a service you are not being provided and it was caused by his accounting error).  Additionally, should you require any additional dental work in the interim and have to pay full price for it, you will also require him to fully reimburse you for all dental work that was supposed to be covered by your insurance but is not due to the suspension.  You will also charge for your hourly time lost in trying to resolve the situation including any time that will need to be taken off work to attend court proceedings.  Additionally, you will contact the police to report a case of insurance fraud.

People and businesses often try to bully customers in situations like this because they think you are powerless to change anything to do anything to them.  However, with the documentation that you have, it is clear that any court would rule in your favor.  He has the option to pay the insurance company (or you) back for the money he has fraudulently taken or get himself into a whole lot of bigger problems including a lot more money, a potential criminal charge and the potential loss of ability to practice.[/quote]

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