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 #***) ("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 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 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 resolutionPlease 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 claimThey KNOW THEY ARE LYING when they say that the required information is not being sentI have been in business for 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 responseThis is a common problem of denials so they can save the company money and they know it.Thank you for your time Regards, [redacted]
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 #***) ("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 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 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 resolutionPlease 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 claimThey KNOW THEY ARE LYING when they say that the required information is not being sentI have been in business for 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 responseThis is a common problem of denials so they can save the company money and they know it.Thank you for your time Regards, [redacted]