I have dental insurance through WellPoint Dental Services. I needed a dental procedure and my dentist filed it and I received an approval/precertification from WellPoint in the mail. It said the insurance would pay $204 of the procedure. I had the procedure 4/25/2007. I paid my dentist in full (that’s how he does it) and have been trying to collect the $204 ever since. I have called the insurance co and am always told it is in process. I have written 2 letters with a copy of the precertification to the address on my card and have had no response. On 7/18/2997, a rep said that it had been misfiled, but it would be sent to claims immediately and that all the necessary info was there. I have received no response to my letters, no check. What should I do now?? That procedure was $1000 and I could really use the $204. Thanks for any help!
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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.