Riverside Auto

Prior to completing the enrollment process, a flashing banner should appear on the Healthplex Capdent website that CLEARLY states ~ "WARNING! The list of participating dental care providers on this website is not accurateIf one of our employees processes your request for a primary dental care provider and you receive written confirmation as well as a membership card with your group number and selected primary dental care provider, try to schedule an appointment and see what happensFollow steps one through four againSame outcomeAnd againSame outcomeAnd againSame outcomeContact a Healthplex supervisor for assistance and the outcome will be the same." All of the reviews below further substantiate that Healthplex Dental Benefits is an absolute joke

The dental plan don't want to pay for his portion ($425) of my tooth crown as was covered on the contract to my dentist(Natural Smile Dentistry)

My husband was scheduled to have a crown placementThe dental office called the insurance to verify benefitsCoverage and benefits were provided by the representativesThe representative never informed the dental office of stipulations pertaining to that particular procedureI called the insurance company myself to verify coverage for the procedure, mainly because I am a billing manager and know it is essentially the patient's responsibility to know their benefitsI was told it was coveredI Have never had the need to ask or provide examples of when the procedure could be deniedIt is called coverage and benefits for a reasonWe went ahead with the covered procedureI received an EOB with a denialI have worked at a dental office in the past and I have never heard of the denial reason
DENIAL-- POINTS OF TEETH on top and on bottom all in biting contact
I appealed the denial on the basis of inaccurate information given to both mysef and dental officeIt was den