How to Appeal a Denied Dental Claim
- Place the letter of denial from the insurance provider in a safe place. You are going to refer to it often. Contact the client Service Department with your principal dental insurance strategy. Be sure you have the information close by in order to quote your policy and team numbers when you call.
- Request the Customer Service representative the reasons for your denial. Write these down so that you can refer back to them as required. If the reasons are simply omissions on the part, you can take care of the quickly.
- Check the code with the insurance company if it is not really evident that it is correct. Wrong healthcare or dental record codes are often the one thing standing between you and the actual check-writing people at the Principal dental insurance organization}. This is a particularly good time for you to ask questions in order to clean up the problems. The easiest method to present your side is within writing. There is no method for them to file your telephone call.
- Establish that the insurance company has your correct telephone number to allow them to stay in contact with a person. They already have your address as confirmed by the letter of denial they sent a person. If they send a letter, it will likely be within thirty days.
- Handle a second refusal of the dental claim by contacting the actual Reevaluation Committee of your insurance company. Additionally, check with the American Dental Association to find out what is available on the government degree of appeals in your area.
Important Suggestions
- Make your appeal as quickly as possible as there is a time limit clause on when you can appeal the state (usually 180 days).
- If you want to have your claim rejected, you will hear within thirty days.