ComplaintsforDr. Duane D. Callahan, DDS, PC
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Complaint Details
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Initial Complaint
08/21/2023
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
My wife, ***** and I have been 25 year patients at Canyons Family Dental (CFD) under the care and auspices of Duane C******* DDS. We both have separate dental insurance policies, coverage, and enrollee ID numbers. In 25 years, we have had no complaints pertaining to billing or insurance claims. Nor have we ever filed a complaint with the Better Business Bureau. In late 2021, Duane C******* announced his retirement. New office management took over billing duties for the practice. Soon after, despite our separate insurance policies, I began receiving erroneous billings from CFD for my wife's procedures. Despite notifying CFD of the error, it took three months to be corrected. ***** then began receiving billings from CFD for insurance claims they said were being rejected by the insurer. We contacted the insurer who informed us CFD was submitting erroneous claims with the incorrect Group and Patient ID numbers, service codes, and employer info. We, once again, contacted CFD with the correct, required insurance info and also asked for an itemization/explanation of the billing being sent to *****. In response, we received a document dump from CFD of every procedure performed. There was no included delineation of claims submitted or pending, and no way to discern if CFD's billing was accurate. We now fast forward to July 2023. Despite numerous phone calls CFD is still submitting incorrect insurance claims. So, I once again printed a template of our insurance cards as well as the correct info required and hand-delivered it to their office. Incredibly, they transposed numbers on the claim and it was rejected. They finally submitted the correct information but the claims were denied by the insurer because "The received data surpasses the timely filing requirements." Incidentally, they also submitted a 3500. claim ***** already paid out of pocket. We do not feel we should have to pay a 993.00 charge that is a direct result of CFD's administrative/billing incompetence.
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Customer Complaints Summary
1 total complaints in the last 3 years.
0 complaints closed in the last 12 months.