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TMJ Disorder -TemporoMandibular Joint Message Board

Double Billing

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Old 06-11-2005, 01:31 AM   #1
Senior Member
Join Date: Apr 2004
Posts: 240
papergoods HB User
Double Billing

Im rather upset. I went to a new TMJ doc in January. I had to pay up front about 900 for tests and the NTI. They said they would bill insurance for me. This has happened w. doctors in the past, you pay, they get what they can and send you a check for what they do end up getting as reimbursment. My insurance paid 1,200 last month, so Im not sure why they billed more but anyway, I called to get info on when to expect my reimbursement and they said they will keep it for future treatment. Well I hated the NTI and I never signed up for some long treatment nor have I gone back. This just makes me angry because I know a lot of times TMJ gets a cold shoulder from insurance and this kind of stuff is probably why. There are no real standards for costs of specific treatments. They basically got 2,000 for exrays and a 400 appliance.

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Old 06-11-2005, 06:01 PM   #2
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Join Date: Jan 2003
Posts: 1,179
TiffanyAnn HB User
Re: Double Billing

Stuff like this makes my blood boil. If you have not been back to the guy since he made the splint for you in January, if he has made NO adjustments to it and you have no intention of continuing with him then YOU have the right to choose if you want them to hold the money or allow you to pay them IF you every go back. If this were me I would contact them and tell them I do not want them holding onto that money for me that I want them to send me a check for the extra and that you will pay them when you go back. They have no right to hold onto your money. They got payment from you and payment from the insurance company. Tell them you want them to return what is left. That is your right! They can be such jerks

Old 07-11-2005, 03:01 PM   #3
Join Date: May 2005
Location: Upstate NY
Posts: 146
raylp HB User
Re: Double Billing

The reality is that many times the insurance company only pays part of the costs, so in essence they are paying wholesale. You paid retail as the consumer. I bet the TMJ specialist is keeping the money because they only got part of what they had hoped to recieve.

I agree completely with the other response, and would demand you get your money back. If you paid with a credit card, have them get the money back. It shouldn't be a problem.

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