Gorji, Niloofar, Dds - Prindiville Peracchio Saunders

★★☆☆☆

About Gorji, Niloofar, Dds - Prindiville Peracchio Saunders

Hours
Mon-Fri 8am-5pm
2.0 1
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Dr. Saunders is kind, experienced, professional, and enthusiastic about his work. He works out of offices in Manchester and Vernon. The offices are clean and well-run, and it is not difficult to get an appointment. Dr. Saunders specializes in tooth implants.

Unfortunately the office does not appear to have good relations with some of its PPO network health insurers, and it engages in sketchy pre-billing practices.

First, the office pre-bills insured patients for services such as anesthesia that should first be billed to the PPO. Such services are not provided unless the patient -- who is covered by the PPO and should only pay a co-pay -- prepays the office directly for the full cost of key services.

Then, in my particular case, the office repeatedly submitted insurance claims to the PPO that were rejected for lack of basic and customary documentation.

When the claims were rejected, the office failed to rectify the oversight and instead billed me for the balance due, in apparent violation of its PPO commitment requiring acceptance of PPO reimbursements as full payment after any co-pay.

The PPO has sent a cease-and-desist letter to the doctor's office. Whether I continue to see Dr. Saunders depends upon whether the office rectifies its billing practices.

2
★★☆☆☆

Dr. Saunders is kind, experienced, professional, and enthusiastic about his work. He works out of offices in Manchester and Vernon. The offices are clean and well-run, and it is not difficult to get an appointment. Dr. Saunders specializes in tooth implants.

Unfortunately the office does not appear to have good relations with some of its PPO network health insurers, and it engages in sketchy pre-billing practices.

First, the office pre-bills insured patients for services such as anesthesia that should first be billed to the PPO. Such services are not provided unless the patient -- who is covered by the PPO and should only pay a co-pay -- prepays the office directly for the full cost of key services.

Then, in my particular case, the office repeatedly submitted insurance claims to the PPO that were rejected for lack of basic and customary documentation.

When the claims were rejected, the office failed to rectify the oversight and instead billed me for the balance due, in apparent violation of its PPO commitment requiring acceptance of PPO reimbursements as full payment after any co-pay.

The PPO has sent a cease-and-desist letter to the doctor's office. Whether I continue to see Dr. Saunders depends upon whether the office rectifies its billing practices.

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