Delta Dental Insurance and Delta Dental Dentists
How many dentists are members of Delta Dental and hope one day to drop them?
How many of you dentists are members of Delta Dental and have been pushed to diagnose a certain way or get fined?
How many of you Delta Dental dentist have diagnosed patients with severe periodontal disease, therefore recommended a deep cleaning (root planing) more often than once every 2 yrs (which is what Delta is only willing to pay for), have informed patients of this choice, believes you, gets their root planing more than once within 2 yrs, pays for the treatment out of their own pocket because they want to keep their teeth from falling out or prevent more bone loss, and Delta Dental turns around and tells you that you were over billing the patient and takes your money by subtracting it from your Delta insurance bulk payments?
How many of you Delta Dental Doctors have experienced patients who tell Delta they don’t like the crown you put on them (the patients chose & paid for the cheaper metal based porcelain crown vs the more expensive white empress all ceramic crowns), claims that no one in your office explained that there was a difference, even though the patient has signed a consent form stating that they were happy with the color, size, shape, contour, fit, & look of their new crown, & that they chose the cheaper crown, yet Delta Dental takes your insurance money anyway ?
How many of you Delta Dental Dentists do such a high volume of work that you get audited more than once a year, and feel interrogated every time they go to your office, when they make you pull 20 + charts and go over all the work that you’ve done, like you have to prove that the patient even exists, & stays to hound you for at least 3 hours at a time? Oh, an x-ray fell off the chart missing, & you cannot find it at that exact moment. Ding. Kiss that money you spent to take that xray good-bye because Delta Dental will subtract it from your Delta Dental check because you cannot find that xray on that day they came over. Oops, your assistant forgot to put the patient’s name or the date of the xray. Ding. Bye bye hard work. Money subtracted from you. It’s not that you didn’t do the xrays, and didn’t pay your staff to get this done.
What Delta Dental insurance claim? You Lost your Delta insurance claims? Delta Dental didn’t loose your insurance claim Doctor, you did (This will be Delta Dental’s version.) Or your staff did! How many times has that happen to you, Delta Dental Doctor? Like, every 10th insurance claim? Why are every 10th (on average) Delta Dental insurance claims always missing? Delta Dental never received it from your office
,Doctor, therefore you must waste your staff time and money to resubmit the insurance claims again!, even though you’ve resubmitted your Delta Dental insurance claim at least 3 x on average!
How many times has Dental Dental ever told this to your patients,(at least 2 months or later) “Patient, your Dentist and his team never gave us your insurance claim.” or “We asked your dentist for an explanation of the treatment & we are still waiting for their response, that’s why we haven’t paid your claim yet. (they have a cavity, okay?) (& Delta, you never sent any letter to us about this!)
What other games has Dental Dental insurance played on you, Doctor?
Did you know that Delta Dental has been subtracting (taking money) from your bulk payments, and you might not even know it? Have you really looked at your Delta Dental statements lately? Time to find out why? Don’t have the time to figure this out? Don’t you think they know this?
When you want something from Delta Dental, they can take months or years to give you that information. When Delta Dental wants something from you, they expect it at that moment or within days, or else ding! money will be taken from you! or subtracted from your Delta Dental paycheck. What a stressful and unfair relationship!
Disclosure:
Fortunately we at Emeryville Dental Care, are no longer pons of Delta Dental. We are treating our patients the way they should be treated. It feels very good not to be dictated by non dentists, ex dental assistants, or retired/old school/behind the times dentist who work for Delta Dental,on what your treatment should be on your patients they’ve never seen.
Unfortunately Delta Dental tells their members that they dropped us, however, at the time (almost 10 years ago), we refused to play their paperwork games, ( we were done & refused to give them any more of their “required ” paper work and mutually consented to separating ourselves from them instead by refusing to play their stalling / non-payment games. Of course, Delta Dental tells their patient members to go elsewhere.
Fortunately, we have Delta Dental patients (who see through the insurance company games & nonsense) who have stayed with us throughout the years and many incoming referred new patients who are still coming to our office who expect higher standards and want better service and care.
Side note:
To Delta Dental Patients: Delta Dental must pay your dental claim, even if you choose to go to a non Delta Dental provider. Even though Delta tells you to go elsewhere and find Delta Dental member Dentists, Delta Dental must pay your insurance claim even if you go to a non Delta Dental provider. A non Delta Dental provider can still treat you and some will bill your insurance for you, so that your insurance claim will be paid. If Delta Dental tells you otherwise, complain to the Dept of Managed Care, 980 -9th St # 500, Sacramento, CA 95814, Fax 916-229-0465
Yelp.com’s secret is OUT ! Yelp.com extorts business owners
April 8, 2010Yelp.com’s secret is OUT ! Yelp.com extorts business owners
Google this: Class action lawsuit against Yelp.com
Allegations: Yelp.com extorts business owners to subscribe to their service or else pay the price of a bad review !
Read the threads:
1- Yelp.com “employees” disguised as Yelp’s “elite reviewers” writes good and bad reviews about businesses. (Really…. how many people would spend countless hours writing reviews on over hundreds of businesses without getting paid?)
2- Business owners with over 10 + reviews gets a call from a Yelp.com “customer service” employee soliciting a monthly subscription to being a yelp “business elite member” with “special privileges” so that they can get maximum exposure. (“What? What else do you offer? Why would I want to subscribe just to be an elite business on yelp for $100 a month?)
3- Now you’ve done it. Mr. Business Owner. You should’ve took Yelp’s “ offer to help your business grow”. You will soon see your positive reviews slowly disappear with an increased number of negative reviews. Next time a Yelp.com employee calls you, you better do as they say, or else!
4- Ring… Ring… “Hello… Yelp.com at your service. How would you like to have those negative reviews removed? The price tag is now $300 per negative review to disappear. What? You want that in writing. No, We don’t put that in writing. Well, if you’re not interested, that’s up to you. We could offer you $300 a month to expose your business better. We have over a million subscribers looking for businesses, just like yours. What’ll it be?”
((Hundreds of more stories just like this))
5- Yelp.com , You call yourself credible?!
http://techcrunch.com/2010/02/24/yelp-class-action-lawsuit/
http://www.eastbayexpress.com/eastbay/yelp-and-the-business-of-extortion-20/Content?oid=1176635
http://yelplawsuit.com/
http://www.pcmag.com/article2/0,2817,2360622,00.asp
http://veterinarynews.dvm360.com/dvm/Veterinary+business/Yelpcom-changes-policies-after-vet-files-class-act/ArticleStandard/Article/detail/664422?contextCategoryId=378
http://veterinarynews.dvm360.com/dvm/Veterinary+news/Calif-veterinarian-sues-Yelp-alleging-extortion/ArticleStandard/Article/detail/659145
http://gigaom.com/2010/02/24/finally-an-actual-yelp-class-action-lawsuit-for-extortion/
It’s no wonder Google.com pulls out of buying Yelp.com
Posted by Kee on February 18, 2009 at 1:55 PM | Report this comment
I was solicited by “Jason” from Yelp. No offer to remove negative reviews, they even refused to remove the bulls**t ones. BUT He DID promise that if I advertised with them that they would “drop down” and nothing below a 4 star would be “featured”. When I said no, the bad ones were featured and I received more negative ones. I have my phone records to prove it.
12/5/2008 Yvette K. says:
Yelp has a sales force who speak to business owners and sell them an enhancement to their profile. Then the businesses can add more information to their Yelp profile and choose which reviews to put at the top and which to hide towards the end. I may not have this completely accurate, but this is more or less the gist of it.
I don’t have a problem with this, but I have heard horror stories about how aggressive their sales force is by calling businesses so many times it drives the business owners crazy.
3/3/2010 Mike R. says:
Yelp needs to take a hard look at is practices. Defamation of character and slander are not protected under “Freedom of Speech” in the same way that yelling “Fire!” in a crowded theatre is not. Yelp needs to stop using “Freedom of Speech” to hide behind, step up to the plate, and come up with a way to determine if a review is genuine or slanderous.
I run a live theatre and I have an issue where I have asked that reviews of my business, both good and bad, be removed because they are not relevant, specifically because it only addresses plays seen at the theatre and not a first-hand experience of the venues core offerings. One of these reviews includes a personal attack against a performer by a woman and her husband who brought a baby to the theatre and said that the actor stopped the performance to be rude to them and to “call them out”. I was there that night – that simply did not happen. The door to the lobby is directly next to the stage, and all the actor did was to pause while the husband left the theatre with the baby.
However, despite my repeated attempts to get the reviews removed and the fact that Yelp’s own rules say that reviews that do not apply to the scope of a business and reviews that contain personal attacks are not allowed, they adamantly refuse to remove these reviews. In addition, despite repeated requests, refuse to call me to we can have a live discussion regarding the problem.
Tags:class action lawsuit against yelp.com, yelp, Yelp.com
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