California Department of Managed Health Care Licensed Dental Plans As a member service, CDA has compiled a list of dental plans from the Department of managed Health Care website. View resource California Department of Managed Health Care Licensed Dental Plans
Dental Benefit Plan Handbook – Chapter 10: Understanding the Claim Appeal Process California law requires every dental plan to have a formal procedure that providers can use to dispute/challenge actions/decisions made by the plan. Overview of plan legal requirements, steps to appealing claims, filing a payment disputes. View resource Dental Benefit Plan Handbook – Chapter 10: Understanding the Claim Appeal Process
Discount Dispute Letter (Multiple Benefit Plans) This sample letter is for use to respond to a dental plan you are not contracted with claims related to the fee discount of a plan with which you are contracted. View resource Discount Dispute Letter (Multiple Benefit Plans)
Legal Reference Guide for California Dentists - Appendix B: Sample Associate Agreement Developed to assist dentists in understanding the contents of a typical agreement. Many common contract terms and conditions are included in this sample with considerations provided for those areas that may be ambiguous. View resource Legal Reference Guide for California Dentists - Appendix B: Sample Associate Agreement
Payment Dispute Resolution Forms and Processes There are two levels for appealing payment disputes: first with the plan itself, then with the appropriate regulatory agency. This resource provides a detailed list of contacts and appropriate processes to follow. View resource Payment Dispute Resolution Forms and Processes
Sample Letter for Dentist to Use to Dispute Refund Demand Made by Plan This resource and sample letter may be used to contest a refund request from a benefit plan after the plan paid for services rendered, stating that the patient was not eligibility at the time of service. View resource Sample Letter for Dentist to Use to Dispute Refund Demand Made by Plan