Delta Dental of California Enterprises

Complaint: ***
I am rejecting this response because: they have taken out of my checking account for months and my wife did not have dental coverageWhy they can not follow the money that was received to find out what happened to my case
Sincerely,
*** ***

March 1,
Mr*** ***, Dispute Resolution
*** *** *** ***
***, CA* ***
RE: ID Number:
***
Reference: *** ***
Dear Mr.***
Delta Dental Insurance Company is in receipt of your correspondence regarding the above-referenced complainant. We were unable to locate the patient name in our system
Therefore, in order for us to investigate further we ask that you please provide the following information listed below
Member Identification Number
Member date of birth
Copy of the claim and/or Explanation of Benefit (EOB)
We appreciate your cooperation in this matter
Sincerely,
*** ***
Review Assistant
Quality Assessment Department

April 28,
Mr*** *** Dispute resolution
Revdex.com Inc
*** *** *** ***
***, CA***
RE: ID
Number: *** *** *** ***
Dear Mr***:
Delta Dental Insurance Company is in receipt of your correspondence regarding the above-referenced complainant. We were unable to locate the complainant in our system
Therefore, in order for us to investigate further we ask that you please provide the following information listed below
Member Identification Number
Member date of birth
Copy of the claim and/or Explanation of Benefit (EOB)
We appreciate your cooperation in this matter
Sincerely,
Quality Assessment Department

*** * *** *** *** *** ***
*** *** *** ***
*** *** *** ***
*** *** ***
RE: ID: ***
*** *** * ***
Dear Sir/ Madame:
Delta Dental Insurance Company is in receipt of your correspondence regarding the above-referenced complainant. We were unable to locate the complainant in our system
Therefore, in order for us to investigate further we ask that you please provide the following information listed below
Member Identification Number
Member date of birth
Copy of the claim and/or Explanation of Benefit (EOB)
We appreciate your cooperation in this matter
Sincerely,
*** ***
Review Assistant
Quality Assessment Department

Revdex.com Inc.*** *** *** ***
*** ** *** Re: Complaint Case Number: *** Consumer: *** *** Dear Revdex.com Dispute Resolution Department: A copy of your e-mail sent August 22, to Delta Dental Insurance Company re the above matter was recently forwarded to Delta Dental of California (DDC), Federal Government Programs. *** *** *** was enrolled in the TRICARE Retiree Dental Program (TRDP) administered by this company out of its Sacramento offices. Our records indicate receipt of *** *** request for disenrollment on August 11, His enrollment was terminated and a refund will be issued in early September We sincerely apologize for the error and any inconvenience caused. Thank you for your attention to the abovePlease advise if you require additional information. Sincerely, *** *** Program AnalystDelta Dental of California, Federal Government Programs*** ***

March 16,
Revdex.com of San Francisco Bay Area
*** *** *** ***
Oakland, CA ***
RE: Complainant: *** *** ***
Patient:
Case ID#:
Revdex.com Case #***
Dear Revdex.com:
This letter is in response to your correspondence concerning the above referenced complainantAs this issue pertains to Private Health Information (PHI) we are unable to respond directly to the Revdex.com. We will accept this as a formal complaint and respond directly to the member.
This privacy restriction is in compliance with the U.SDepartment of Health and Human Services (HHS) Office for Civil Rights, which announced this rule effective September 23, This privacy rule was created to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of (HIPAA)This restriction means that no Private Health Information (PHI) belonging to another person can be released to another individual unless the owner of the PHI has provided specific permission to do so.
Delta Dental takes enrollee concerns seriously and maintains an internal grievance process to review complaintsAs always we recommend that our enrollees submit matters for our review by either contacting customer service at 1-*** to submit a grievance over the phone or request a grievance packet to submit it in writing or submit the grievance online on the following page of our website: http://www.deltadentalins.com/about/contact/index.html
Sincerely,
*** ***
Appeals Specialist
Subscriber Services

Complaint: ***
I am rejecting this response because:
Sincerely,
*** ***

August 18, *** *** *, Dispute Resolution Revdex.com, IncBroadway, Suite Oakland, CA RE: ID Number:
*** Complainant: *** ** *** Dear *** Delta Dental Insurance Company is in receipt of your correspondence regarding the above-referenced complainant. We were unable to locate the complainant in our systemTherefore, in order for us to investigate further we ask that you please provide the following information listed below Member Identification NumberMember date of birthCopy of the claim and/or Explanation of Benefit (EOB) We appreciate your cooperation in this matter Sincerely, Quality Assessment Department

Hello,In review of the enrollee's account, there is no record of a formal complaint being filed regarding this issue. The Plan will forward this issue to the Quality Management department and will respond directly to the enrolleeThank you,DeltaCare USA

Complaint: ***
I am rejecting this response because:
I have trying to get
this resolved for the past two monthsI was married in march and have submitted all the *** documents to my wife's employers and they have confirmed that I am covered in their system however delta is delaying this why I don't know I am having dental work done this weekend and will not b financially responsibleBc I have proof from my wife's employer I am covered.
Sincerely,
*** ***

Revdex.com Inc
*** *** *** *** *** ** ***
Re: Complaint Case Number:***
Consumer: ***
***
Dear Revdex.com Dispute Resolution Department:
A copy of your e-mail sent July 6, to Delta Dental Insurance Company re the above matter was recently forwarded to Delta Dental of California (DDC), Federal Government Programs.
Mr*** *** is enrolled in the Federal Employees Dental Program (FEDP) administered by this company out of its Sacramento offices
A data entry error occurred while entering data from a hand written claimWe have confirmed Mr***s name, address and account number are correctly noted in our system and the claim was reprocessed and payment issued on June 7, We sincerely apologize for the error and any inconvenience caused
Thank you for your attention to the abovePlease advise if you require additional information
Sincerely,
*** ***
Program Analyst
Delta Dental of California, Federal Government Programs

August 23,
Revdex.com of California
Broadway, Suite
Oakland, CA
RE: Patient* *** ***
Case ID** ***
BB Case ***
Dear Revdex.com:
This letter is in response to your correspondence concerning
the above referenced complainantAs this issue pertains to Private Health Information (PHI) we are unable to respond directly to the Revdex.comWe will accept this as a formal complaint and respond directly to the member
This privacy restriction is in compliance with the U.SDepartment of Health and Human Services (HHS) Office for Civil Rights, which announced this rule effective September 23, This privacy rule was created to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of (HIPAA)This restriction means that no Private Health Information (PHI) belonging to another person can be released to another individual unless the owner of the PHI has provided specific permission to do so
Delta Dental takes enrollee concerns seriously and maintains an internal grievance process to review complaintsAs always we recommend that our enrollees submit matters for our review by either contacting customer service at 1-888-335-to submit a grievance over the phone or request a grievance packet to submit it in writing or submit the grievance online on the following page of our website: ***
Sincerely,
*** ***
Subscriber Services

Complaint: ***
I am rejecting this response because:I have tried for several months now to get this resolved I need my teeth fixedNow
Sincerely,
*** ***

June 7, Better Busi*** Bureau Consumer Complaint Case #: *** Dear Better Busi*** Bureau: Thank you for your follcorrespondence received June 2, We appreciate the opportunity to respond to your concern Unfortunately, as the patient at issue is an adult dependent under this plan, information cannot be released to another individual unless the adult dependent *** *** authorizes the release. As a result, we are unable to respond to your concern at this time, as there is no release on file for the AD involved. We will respond directly to *** *** as he has already filed a grievance with Delta Dental This privacy restriction is the result of the U.SDepartment of Health and Human Services (HHS) Office for Civil Rights, which announced this rule effective September 23, This privacy rule was created to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of (HIPAA)This restriction means that no Personal Health Information (PHI) belonging to another person can be released to another individual unless the owner of the PHI has provided permission to do so. Please feel free to call me if you have any questions regarding this matter at (916) *** extension *** or toll-free (877) *** Sincerely, Appeals Specialist Subscriber Services Tell us why here

Complaint: ***
I am rejecting this response because: 63,was deducted from my checking account at *** each month for three months and my wife did not have dental coverageMy wife had to go to the Dentist and we had to pay out of our pocket Why can't we find out who was getting that money and why the coverage was not thereThis is the second rejection I have file and we need a resolution to this problemI feel like I'm getting a run around \\Sincerely, *** ***

Just received letter this morning from Benefeds who administers Delta Dental. It was dated 4/19/17. I have attached it. Received my direct deposit from OPM retirement and another $was taken from it for May. So far, they have taken $without my authorization. Apparently, they will continue to take $monthly dental insurance. In fact the attached correspondence indicates they will take out another $to catch up for prior months that they could not collect because they did not have my written authorization for monthly allotments. It wasn't until I signed a written authorization for DeltaCareUSA to take monthly allotments from my pension. Delta Dental used that written authorization from DeltaCareUSA to enable them to take $from my monthly pension. DeltaCareUSA was only $25+ monthly allotment. Please advise, as it has been days already from April 23, to make a decision to cancel Delta Dental premiums through unauthorized monthly allotments

Complaint: ***
I am rejecting this response because:Attached is the fax I sent to the business twice For them to say they can't find me is disturbing since they found me well enough to complete the transaction My ID in their system is *** and my DOB as requested is *** ** *** I loggto the account this morning and nothing has changed
Sincerely,
*** ***

Initial Business Response /* (1000, 7, 2015/08/11) */
Re: Complaint Case Number: XXXXXXXX
Consumer: [redacted]

Dear Revdex.com Dispute Resolution Department:
A copy of your e-mail sent July 24, 2015 to Delta Dental Insurance Company re the above matter was recently forwarded to Delta Dental...

of California (DDC), Federal Government Programs.
Mrs. [redacted] is enrolled in the TRICARE Military Retiree Dental Program administered by this company out of its Sacramento offices.
This program offers dental benefits to certain retired military personnel and their dependents, as authorized by 10 U.S.C. §1076c. By federal regulation (32 CFR §199.22), the Department of Defense has determined that state and local laws and regulations pertaining to health or dental insurance are preempted under the auspices of 10 U.S.C. §1103. Delta Dental therefore respectfully asserts that the Revdex.com lacks jurisdiction over this aspect of the complaint. However, in the interest of Customer Service, we will be responding directly to the complainant. The claims in dispute have been adjusted and the applicable payment issued.
Thank you for your attention to the above. Please advise if you require additional information.
Sincerely,
[redacted]
Program Analyst
Delta Dental of California, Federal Government Programs
(XXX) XXX-XXXX

Revdex.com has no jurisdictionTell us why here...

Complaint: [redacted]I am rejecting this response because:
Hello,
 
As of this writing, April 24, 2017 @ 4PM, no response whatsoever. 
 
Sincerely,[redacted]