ComplaintsforLigonier Family Dentistry

• Initial Complaint

  10/25/2024

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  First date of visit for further dental work was 9/5/24, the amount that was owed to me from insurance reimbursement was $305.60. This dentist office never sent me the reimbursement check as they had promised to, instead they applied it as a credit essentially pocketing the money. Second date of visit for further dental work was 9/20/24, the amount that was owed to me from insurance reimbursement was $345.60. I have yet to receive my reimbursement checks, and have heard from multiple employees that have worked there that this dentist is pocketing peoples insurance money. Basically telling their office staff to not issue any checks unless someone calls 3 times complaining about not getting their money back. I have contacted them several times, emails, countless phone calls you name it. Still no money sent back to me.

• Initial Complaint

  03/08/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  Received services after I went to be seen for an erupted tooth. Price was negotiated like a used car sales transaction while sitting in pain. Agreed to let them file with insurance and paid for bill in total. Received statement from insurance attempted to receive refund for overpayment and was refused. There is a lack of professionalism and compassion from this company and lack of customer well being.

  Business response

  03/11/2024

  *********************************

  Billing Manager

  907 ************
  

  Ligonier, IN, *****

  3/11/2024

  Better Business Bureau

  Subject: Response to Complaint Case #********
  

  Dear BBB,
  

  I hope this letter finds you well. We appreciate the opportunity to address the concerns raised by ********, *************;through the Better Business Bureau. Our commitment to customer satisfaction is of the utmost importance, and we take every concern seriously.
  

  After careful review of the matter, we acknowledge the billing dispute related to **********************************. We are pleased to inform you that we have reached an amicable resolution with the patient. We have agreed to the proposed resolution of paying the outstanding amount of $127.50, and a check has been prepared for ***********************************.

  The check is available for pickup at our office located in Ligonier. We kindly request that ********, *************;visit our office at *********************; during our regular business hours to collect the payment. We believe this resolution is fair and satisfactory to both parties.

  Our office is committed to maintaining open communication and resolving any issues promptly. We appreciate the BBB's role in facilitating communication between businesses and consumers and are grateful for your assistance in this matter.
  If you require any additional information or have further questions, please do not hesitate to contact us at ************.
  

  Thank you for your attention to this matter, and we look forward to the swift resolution of this case.
  

  Sincerely,
  *********************************

  Billing Manager

  ************

  Ligonier Family Dentistry

  Customer response

  03/11/2024

   Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

  
  

  Thank you.

• Initial Complaint

  07/10/2023

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  This is actually a complaint against Ligonier Family Dentistry, which bought out Ligonier Dental Care. The Better Business Bureau would not let me add Llgonier Family Dentistry as a new business.My daughter was seen on June 2, 2022, by ***** **********************, DDS, at Ligonier Dental Care. She had cavities filled. She has both ***** Dental and **************** Between the two insurances, there is nothing due from the patient.In the fall of 2022, Dr. ********************** sold his practice. The entire staff was replaced, and the new business name became Ligonier Family Dentistry LLC. Our insurance was no longer accepted so my family members switched dentists.I received a bill from ***** in the spring of 2023. After going around and around in a dead=end conversation with ***** (via phone), it was determined that the claim from 6/2/2022 had not been paid by ********* I told ***** that she cannot legally bill me for unpaid ******** services. She argued with me! (I worked in the medical field for 20+ years and spent much of that time billing insurances, including *********)I received many voicemails and text messages.On May 30, 2023, I received another bill through the mail. I called my insurance (Anthem ********) and spoke both with ******* and ******. Both ladies told me that a provider CANNOT bill a patient for an unclaimed ******** bill.****** called and spoke with *****. The claim had been denied by ******** because there was no doctor ********* on the claim. (This would be from the previous dentist, our dentist, Dr. **********************.) ****** explained that the 90 day filing window had passed but that ***** could re-file with ******** and ask for an appeal. ***** was also told by ****** of Anthem ******** THAT A PATIENT CANNOT LEGALLY BE BILLED FOR A DENIED ******** CLAIM. **************************** stated that she understood this.Shortly thereafter, I received a statement from Ligonier Family Dentistry dated 5/30/2023. It states that I owe $0.00. In the last month, I have still received TWO voicemails, TWO texts, and ANOTHER bill all stating that I owe $338.80!This has now become harassment!***************************, mother of patient

  Business response

  07/27/2023

  Good evening the bill that we have outstanding in our office is for the patient is not only for ***** but also *****. This is an accumulation of different bills with different dates of services. This patient has had a running balance with our office since 06-02-22 & has never paid her balance in full. I've included a screen shot of the patient's account balance with our office and I've blocked out ** information due to HIPPA purposes. Office manager ***** has made contact with the patient multiple times to try to explain this and resolve balance. I've also attached the ownership change papers that we've sent all our of patients last year 2022. Patient stated she was aware of the ownership change and did receive papers as well. But this patients balance on the account was an issue before the ownership changed. 

  Customer response

  07/28/2023

   I am rejecting this response because:
  When I spoke with ***** the office manager on May 30, 2023, she stated that the balance is from ONLY June 2, 2022.  Both ******* and ****** at my insurance company ***************** stated that this claim was denied due to doctor ***** (submitted without doctor ***************** Both ******* and ****** at Anthem stated that it is ABSOLUTELY ILLEGAL to bill a ******** patient for any unpaid balance.  I have not had any unpaid balance with the previous dentist, Dr. *********************** or the current dentist.  ***** is fabricating to save her own hide.
  
  

  Business response

  08/01/2023

  I apologize for any confusion that *** have been caused. The office is willing to resolve this claim with ***** in the office. We have a few issues at hand here. 1. ****************** was filed for the date of service of 06-02-2022 & they still have not paid the claim and haven't sent us an EOB. Office manager has tried to resubmit claims and follow up with the insurance company and there's been no update. Office manager has agreed to take care of the balance if ******** stated that this claim was paid. Office manager has requested EOB from ***** since insurance is not responding to the office and that hasn't been presented. So if there's a copy of this EOB please provide it to the office so this balance can be adjusted accordingly. Otherwise we can not just write of the balance without any proof that patient(s) had this coverage during this time. Thanks 

  Customer response

  08/02/2023

   I am rejecting this response because:
  I was NEVER asked for an EOB!
  
  

  Business response

  08/17/2023

  *****, if you could please provide and EOB, we can try to resolve this. There is still no action on your behalf to work with us to resolve this matter. So please call our office ************ or email your EOB to the Ligonier office Manager. *************************************

  Thanks

  Customer response

  08/21/2023

   I am rejecting this response because:
  No attempt on the part of Ligonier Dental has been made to resolve this.  
  
  

  Customer response

  08/23/2023

  We have tried for TWO WEEKS to get the *** out of DentaQuest.  We have called and emailed; no luck.  As the provider, Ligonier Dental can get it quicker.  I will keep trying in the meantime.

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩