CDA in April 2019 launched a simple process for members to report dental benefits-related issues and questions on topics ranging from quality-assurance audits to filing appeals. The Dental Benefits Issue Submission Form makes it easier for dentists or their staff member to quickly contact an expert for assistance and submit their issues 24/7.
To date, CDA’s expert analysts have assisted nearly 3,900 members with dental benefit questions and issues using the online submission form.
Guidance on billing, coordination of benefits and more
The intake form collects basic information about your question or issue. Below are a few topics you can obtain guidance on or assistance with by using the form.
- Help with filing an appeal
- Billing issues/questions
- Bundled procedures
- CDT coding questions
- Claim denial
- Questions concerning contracting/leasing with plans
- Coordination of benefits
- A denied predetermination
- Down coding of treatment
- Explanation of benefits language
- Lost claim and/or documentation by the plan
- Patient complaints to their plan about the care provided
- Payment delays and withholds by the plan
- Dental plan quality-assurance audits
The form is secure, HIPAA-compliant and only takes seconds to complete. Once you’ve submitted the form, a CDA dental benefits analyst will review and evaluate your issue and follow up with you by phone or email per your preference. You can expect follow-up within 48 business hours of submitting your form.
‘Help us help you,’ as the saying goes
The information and details you provide on these forms helps CDA identify trends and patterns in the dental benefit marketplace. Because CDA is committed to pursuing ways to support, advocate for and act on behalf of members, CDA utilizes collected information to determine the best way to serve members experiencing similar issues in the future and to pivot and assist members with the ever-changing challenges in the dental benefit landscape.