Submitted by lavender_and_teal t3_xyqfki in personalfinance
Hi, I have had a repeated issue with my dentist where while the claim is processing or, in this case three months after payment was made, my dentist bills me the full amount. Upon calling the insurance company, they inform me that because the dentist is in-network, this behavior is not allowed as the insurance paid the entire allowed amount. Patient responsibility is listed at 0$ for preventative care, however I am still billed for the service. The office billing person works from home and does not return phone calls, nor does she answer the phone. The receptionists, when I have gone down there, tell me the balances in the computer do not match the bills I receive in the mail, nor what the insurance company says (0$). The insurance company says I can’t file a fraud complaint without trying to work it out with the office, but they are not responsive to contact attempts. Is billing a patient after they’ve already received a full payment from patient insurance illegal/ what can I do about this?