Delta Dental of California Enterprises

Revdex.com, Inc.
[redacted]
[redacted], CA [redacted]
 
Re: Complaint Case Number: [redacted]
Consumer: [redacted]
 
Dear Revdex.com Dispute Resolution Department:
 
A copy of your e-mail dated May 4, 2017 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. We will respond directly to the member regarding her claim inquiry.
 
Thank you for your attention to the above. Please advise if you require additional information.
 
Sincerely,
 
A. Belcastro
 
Program Analyst
Delta Dental of California, Federal Government Programs

...

                        RE:      Patient:            [redacted] Dear Revdex.com:   This letter is in response to your correspondence concerning the above referenced complainant. As 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.S. Department of Health and Human Services (HHS) Office for Civil Rights, which announced this rule effective September 23, 2013. 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 1996 (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.    [redacted] takes enrollee concerns seriously and maintains an internal grievance process to review complaints. As always we recommend that our enrollees submit matters for our review by either contacting customer service at [redacted] 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, [redacted] Appeals Specialist

Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. Sincerely, [redacted]