Dental Insurance Claim?

My dental office staff is claiming that they have submitted claim online, and they also submitted claim via postal mail.



However, the insurance company is claiming that they received the claim neither times.



What further can I do? The dental office can claim that they have done all they can do for a courtesy, as no health care provider in United States are legally required to submit claim so I will just have to pay the full non-insurance price for the dental service.



I also checked the claim mailing address with both the dental office and the insurance company.



Do I just pay because for some mysterious reason the claim never got sent or never received?



Any opinion?Dental Insurance Claim?
You can submit it yourself by mail.



You can even send it by certified mail, return receipt requested, so that there is proof of delivery.
Submit it yourself certified mail, return receipt requested.



You would be shocked at what happens in insurance company mail rooms. I know from experience.Dental Insurance Claim?
What you can do, is check with the insurance company, what address they're SUPPOSED to be sending the claim to, then check with the dental office about which address they ARE sending it to.



Also, you can get copies of the claim papers yourself, and mail your OWN claim forms in.



Look, I submit the exact same claim to Cigna, sometimes 8 or 10 times, before they "receive" it. Then slowly, every few days, I get one of the others back, with a form cover letter that the claim couldn't be matched up, or the number was wrong, or it was illegible - their SYSTEM automatically rejects any claim not exactly lined up perfectly. It's HORRIBLE.



You can call the insurance company, start documenting everything and get a direct fax number, to fax your claim to. Then, you keep your fax confirmation sheet, every time, and eventually, file a complaint with your state insurance commissioner, if it never gets paid.



It's not that the insurance company has a person denying the claims - the claims system - at least with Cigna - is so heavily automated, that a fax or email claim will get rejected from the system by a computer BEFORE a person can even see it, so it will never show up.
You submit the claim then. It's not a big deal. Your "most company's rule" is incorrect.Dental Insurance Claim?
Ask them to send it again by certified return receipt mail.