health information
How do I get my dental insurance to process / pay my claim?
I have dental insurance through WellPoint Dental Services. I needed a dental procedure and my dentist filed, and I received an approval / precertification from WellPoint in the mail. He said the insurance would pay $ 204 of the procedure. I had the procedure 4/25/2007. I paid my dentist in full (this is what he does), and have tried to collect the $ 204 since. I called the insurance co and am repeatedly told that he was going on. I have written 2 letters with a copy of prior authorization to the address on my card and have received no response. On 7/18/2997, said a rep that it had been misfiled, but it would immediately be sent to claims and that all necessary information was there. I have received no reply to my letters, no check. What should I do now? This procedure was $ 1000 and I was really the $ 204th Thanks for any help!
| This entry was posted by admin on March 18, 2010 at 11:06 pm, and is filed under Health Care Services. Follow any responses to this post through RSS 2.0. You can leave a response or trackback from your own site. |
about 4 months ago
Write a polite letter of complaint to the Commissioner of Insurance for your state – at your state capital. Copy to your insurance company’s Vice President of Health Insurance Claims – or some similar person. The insurance company is required to respond to the commissioner within 30 days. Every day after 30 that they are late, costs them $. You should get a prompt response. But, remember to be polite. You will still have the same insurance company. Most claim adjusters are over worked but real people.
about 4 months ago
I would write a letter to your state insurance department – including the dates, etc, and file a complaint. And carbon copy in Wellpoint.
That should kick them into gear.