Atlantic Housing Center Inc

Upon receipt of the necessary estate documents that *** *** faxed on 1/24/2017, Delta Dental was able to approve the issuance of a new check to *** *** as the executor of the estate of *** ***. A check in the amount of $was mailed to *** *** on 1/25/2017.If you have
any additional questions, please feel free to contact meThank you *** ***Senior Paralegal

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me.  I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]

Delta Dental Plan of Michigan, Inc. (NAIC #[redacted]) ("DDMI") is in receipt of the above complaint.  Upon receipt, our Customer Service department promptly researched this inquiry.   The complainant received a letter from DDMI in May 2017 providing procedure codes for which additional...

documentation would be required in order to process claims.  Without specific information on the claims submitted, it is difficult to respond to this inquiry.  However, in general, common explanations for claims being denied or disallowed include the following:  the claim was not submitted with all necessary supporting information (missing radiographs, missing treatment records, etc.), the claim contains incorrect information, the services performed do not meet Delta Dental’s contractual guidelines, or the treatment is not a covered benefit the plan.  We suggest that the complainant refer to the reference sheet attached to the May 2017 letter when submitting claims to ensure that the necessary documentation is submitted with the claim.

[A default letter is provided here which indicates your rejection of the business's response. 
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of why I am rejecting this response appear below:
[You must provide details of why you are not satisfied with this resolution. Please type details here:]I have called Delta repeatedly and let them know that I am 100% aware of the required information they have requested to process claims and I am sending 100% of what they are requiring with every claim. They KNOW THEY ARE LYING when they say that the required information is not being sent. I have been in business for 38 years and I have never had this problem of insurance companies outright LYING to both me and my patients!They know the truth, and are outright LYING! I have had patients send the requested information themselves so that they can see that Delta is LYING! I really didn't expect this problem to be resolved by the company properly handling claims in a professional manner and I am totally disgusted with their response. This is a common problem of denials so they can save the company money and they know it.Thank you for your time.
Regards,
[redacted]