Dental Insurance Claim Denial
Summary
If your dental insurance claim was denied, review your Explanation of Benefits (EOB) for details on coverage and denial. Contact your dental provider to confirm claim submission details and reach out to your insurance company for specific reasons for denial. Inquire about the appeal process and any additional documentation needed.Full Conversation
I have not checked that yet
I understand. It would be a good idea to check your Explanation of Benefits (EOB) from your insurance company. This document will help clarify what was covered and what was denied. If you find that the claim was denied, you can contact your insurance company for more details.
Have you tried reaching out to your dental provider to see if they can provide you with more information on the submission of the claim?
She gave me dates on when the work was done
Thanks for that information. It's a good start that you have the dates when the work was done. Here are a few steps you can take:
- Check your Explanation of Benefits (EOB) from your insurance company.
- Contact your dental provider to confirm the submission date and details of the claim.
- Contact your insurance company to understand why the claim was denied.
Do you need help with how to approach your insurance company or dental provider?
yes
Case Rating: *
You can approach your insurance company by calling their customer service number found on your insurance card. When speaking with them, you can ask for:
- Specific reasons for the claim denial.
- Steps to appeal the denial if applicable.
- Any additional documentation they may need from your dental provider.
Would you like guidance on what to say when you call them?
yes
Case Rating: *
Sure! When you call your insurance company, you can say:
"Hello, I recently received a bill for a dental procedure done eight months ago. I noticed the claim was denied. Can you please provide me with the specific reason for the denial? Also, what steps can I take to appeal this decision, and is there any additional documentation needed from my dental provider?"
Would you like any further assistance on this matter?
ok I will start there. thank you
Case Rating: *
You're welcome! Good luck with your call to the insurance company. If you have any more questions or need further assistance, feel free to reach out.