Common use of Claims Appeal Procedure Clause in Contracts

Claims Appeal Procedure. If you receive notice of an Adverse Benefit Determination and you think that Delta Dental incorrectly denied all or part of your claim, you or your Dentist should contact Delta Dental’s Customer Service department and ask them to check the claim to make sure it was processed correctly. You may do this by calling the toll-free number, (000) 000-0000, and speaking to a telephone advisor. You may also mail your inquiry to the Customer Service Department at X.X. Xxx 0000, Xxxxxxxxxx Xxxxx, Xxxxxxxx, 00000-0000. When writing, please enclose a copy of your explanation of benefits and describe the problem. Be sure to include your name, telephone number, the date, and any information you would like considered about your claim. This inquiry is not required and should not be considered a formal request for review of a denied claim. Delta Dental provides this opportunity for you to describe problems, or submit an explanation or additional information that might indicate your claim was improperly denied, and allow Delta Dental to correct any errors quickly and immediately. Whether or not you have asked Delta Dental informally to recheck its initial determination, you can request a formal review using the Formal Claims Appeal Procedure described below.

Claims Appeal Procedure. If you receive notice of an Adverse Benefit Determination and you think that Delta Dental incorrectly denied all or part of your claimClaim, you or your Dentist should may contact Delta Dental’s Customer Service department and ask them to check reconsider the claim Claim to make sure it was processed correctly. You may do this by calling the toll-free number, (000) -000-0000, and speaking to a telephone advisor. You may also mail your inquiry to the Customer Service Department at X.X. Xxx 0000, Xxxxxxxxxx Xxxxx, Xxxxxxxx, 00000-0000. When writing, please enclose a copy of your explanation of benefits and describe the problem. Be sure to include your name, telephone number, the date, and any information you would like considered about your claimClaim. This inquiry A request for reconsideration is not required and should not be considered a formal request for review of a denied claimClaim. Delta Dental provides this opportunity for you to describe problems, or submit an explanation or additional information that might indicate your claim Claim was improperly denied, and allow Delta Dental to correct any errors quickly and immediately. Whether or not you have asked Delta Dental informally to recheck reconsider its initial determination, you can request a formal review using the Formal Claims Appeal Procedure described below.

Claims Appeal Procedure. If you receive notice of an Adverse Benefit Determination and you think that Delta Dental incorrectly denied all or part of your claimClaim, you or your Dentist should may contact Delta Dental’s Customer Service department and ask them to check reconsider the claim Claim to make sure it was processed correctly. You may do this by calling the toll-free number, (000) 000800-0000524-0149, and speaking to a telephone advisor. You may also mail your inquiry to the Customer Service Department at X.X. Xxx 0000, Xxxxxxxxxx Xxxxx, Xxxxxxxx, 00000-0000. When writing, please enclose a copy of your explanation of benefits and describe the problem. Be sure to include your name, telephone number, the date, and any information you would like considered about your claimClaim. This inquiry A request for reconsideration is not required and should not be considered a formal request for review of a denied claimClaim. Delta Dental provides this opportunity for you to describe problems, or submit an explanation or additional information that might indicate your claim Claim was improperly denied, and allow Delta Dental to correct any errors quickly and immediately. Whether or not you have asked Delta Dental informally to recheck reconsider its initial determination, you can request a formal review using the Formal Claims Appeal Procedure described below.