Coast Dental — x-ray and initial exam
Was at this location on 6.24.19. Had an X-ray (1) and initial exam.
I have Humana Medicare and according to my policy, this is an IN-Network facility.
I was charged $14.00 for an X-ray (which I paid) and $43.00 (which I also paid) for the initial exam, all because this office fraudulently billed my insurance company with the incorrect CPT code.
When I called this office and asked them to change the CPT code they refused.
I sent a letter to Humana appealing these charges and to investigate the fraud charges. CPT code D0140 was used. I sent this documentation into Humana .
I also suggested to Humana that they not renew your IN NETWORK status in the coming year, because your personnel at this office have no clue what they are doing and the fraudulent billing practice.
I received a decision from Humana regarding this case. REF #: [protected] in my favor and your company owes me $57.00 for that above charges I have paid.
My account # is: [protected].
I have reached out to this location and have been hung up on. I left a message through your corporate office yesterday 1.5.20 asking for regional or district manager to contact me at 321.615.5683 since your office manager at the above mentioned location is not available and there is no one there to cover in her absence. My suggestion is: CROSS TRAIN YOUR PERSONNEL.
The one girl in the office INSISTED you do NOT have a corporate office nor do you have a phone number. She needs to be educated on the company she represents and works for. She is NOT the receptionist.
I have all the documentation needed for this reimbursement. I will present all this when I meet with a manager.
I look forward to hearing from either a Regional Manager, District Manager or someone with authority to help with this reimbursement of $57.00.
Thank you for your immediate attention to this matter.
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