Appeal refers to the formal process by which a dental plan enrollee disputes all (or part) of a dental bill. An appeal can also refer to the process by which a dental plan enrollee disputes a decision made by the dental plan regarding the coverage of a dental procedure.
Billing disputes can sometimes occur because of balance billing. Balance billing, also known as surprise billing, is a practice where a dentist accepts the reimbursement rate from the insurance company for a covered procedure but sends a separate bill to the patient for the difference between the insurance reimbursement and the dentist’s normal charge.
If a dental insurance appeal is unsuccessful, a dental plan enrollee can also contact the department of insurance in their state.
Our knowledgeable customer service team will assist you with any questions you may have prior to enrolling in a dental plan. They can guide you through the process of choosing coverage that matches your needs as well as your budget.
