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Tags: insurance, dental insurance, dental charges
My dental insurance company does not want to pay for a covered expense, do you get involved with these kind of disputes. Also, if you don't,can you give me a referral.Thanks
Hello Derek. We would contact your dental insurance company with a complaint and ask that they address the allegations raised and provide a reason why they do not want to pay for the covered expense. The entire complaint process can take 30 days. We cannot guarantee a resolution will be reached, but filing a complaint is a good first step: https://www.checkbca.org/file-complaintTo escalate the complaint further, I suggest contacting the California Department of Insurance (CDI): CDI assists consumers with matters regarding improper denial or delay in payment of a claim, and other claim related issues: http://www.insurance.ca.gov/01-consumers/101-help/hcpcomplaints.cfmTo ensure proper review of your complaint, the CDI requests consumers to please provide copies of the following:• Claim forms submitted to the insurance company• All correspondence between the provider and the insurance company• The patient’s insurance identification card- both sides• Provider’s contract with the insurance company, if applicable• The patient’s Assignment of Benefits, if applicable • Completed Health Care Provider Request for Assistance (HPRFA) form I hope this information has been helpful. Please feel free to contact me directly at email@example.com if I can be of further assistance.
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