Quote Quoting Rita Hoeffner
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My husband had some dental work done and the insurance lady in the office refused to file his insurance.
Why did she refuse?
Quote Quoting Rita Hoeffner
I had to get pretty forceful but she finally did file the insurance; however, when she did the charges she submitted were much higher than what she had originally billed and what was originally on the Treatment Plan that my husband agreed to pay.
If they're a participating office, they would bill the rate they've negotiated with the insurance company. If they're not, odds are the insurance company will cap the reimbursement to the rate it deems reasonable and pass the balance on to you - at which point you can assert the contractual rate you negotiated.
Quote Quoting Rita Hoeffner
I told the insurance this and they said there was nothing they could do.
If you are claiming that the insurance company is choosing not to treat the claim as fraudulent, then that's what they've chosen to do. Beyond that, what do you mean by "nothing they could do" - they're going to pay whatever it is they're contractually obligated to pay, right? Is there something more you think they're supposed to do?
Quote Quoting Rita Hoeffner
Now she has submitted additional charges for services that have not even been scheduled yet, and for charges that were never authorized to be done.
As this is a new issue since your last complaint about the office's bills, get back in touch with your insurance company and explain that your husband has not yet received the billed services. I am not aware of any dental insurance company that will pay in advance.

What do you mean by "charges that were never authorized to be done" - are you talking about dental treatments your husband received, but believes he should not have to pay for? Explain.
Quote Quoting Rita Hoeffner
He had to also see a periodontist and now the insurance won't pay at all on that visit since she has fraudulently filed this claim and the insurance paid the first dentist for services not yet completed.
The insurance will only pay out what it is obligated to pay out, so if they've paid out the maximum benefit for the year they're not going to pay more. If you successfully dispute a past bill such that they recall a payment made by one provider, then they would free up that money to be paid to another provider.
Quote Quoting Rita Hoeffner
It would seem my insurance doesn't care, so what agencies can I turn her and my insurance company into?
You insisted that this office bill your insurance company, they did so, and the insurance company paid the bills. That's what the insurance company is supposed to do. What do you believe they have done wrong?

The Texas State Board of Dental Examiners accepts complaints here. The TDI accepts complaints here. You can explore for additional agencies or groups that might entertain complaints.
Quote Quoting Rita Hoeffner
You would think my insurance would want to stop the fraud, especially from a dentist who is in their preferred provider network.
If in fact the dentist is in their PPN, they will pay pursuant to the aforementioned pre-negotiated schedule. The dentist can bill $1 billion for a filling, and they'll still only get the pre-negotiated amount.