I've been going to the offices of Nick Infantino for my dental work for the past 5 years. Even after moving to New York, I still scheduled my dental cleanings during my visits to Apple. My last cleaning was in October, 2007 and was pretty normal (no cavities, yay)
In November I received a letter saying they were no longer accepting my dental insurance. No problem, I'll find another dentist, maybe in New York. In December, I received a bill for $120 for my October visit. They had billed my insurance $300 for the cleaning, but for some reason my part was $120.
Of course there was no way I would just pay this bill. If they had stopped taking my insurance in October, they should have told me when i stepped in the door. They should not have rendered services (including a new set of XRays!) if they knew they were dropping (or already had dropped) my insurance.
So I called them and complained. The receptionist said she would relay my thoughts to the dentist. I threw away the bill. What garbage.
This week I received an updated bill for $20. I, of course, called to complain some more. While I appreciated the $100 savings, at the end of the day I was being charged for something I had received for free for 5 years, and I was not told of this in advance. The receptionist was very difficult to understand. It wasn't her english, she was just incapable of explaining how they had arrived at the $120 and then $20 bill.
I called Metlife Dental who was able to explain to me the bills to me. Initially the dentist had billed his full price to the insurance, $300. But the insurance would only authorize up to $200 for the services. And since the dentist was now out of network, they would pay 90% of the $200. Leaving me with a $120 bill.
The $20 bill came from the dentist reducing his $300 charge to a more reasonable $200 charge (what the insurance thinks they should be billing) and so I was just left with 10% of that. Metlife also said, not officially, that it was ridiculous the dentist had not told me my checkup would not be covered.
I called the dentist one last time. The receptionist still didn't understand my point about being charged anything at all. It's the principal now, I don't care about $20. She was complaining about all the paperwork she had to do because of this.
I had one last point, the strongest in my mind. I am fairly certain that if my mom had received this $120 bill back in December, she would have just paid it. How many people check their bills like I do? Check credit card statements? Balance their checkbooks? Call billers and question charges? Not many.
People like my mom would have blindly sent the dentist the payment they had requested. Unbelievable. And if there was an adjustment to their bill (like mine was adjusted) do you think they were sending back refund checks? I doubt it. I wanted to ask the receptionist this, but again, she didn't really understand my point.
Argh.