Dental Benefits Form

The first form is the Denied Claims Report Form. This form is to be completed by the practice for any claims that get escalated and are denied by the carrier. One form should be completed for each denied claim. The more information you provide, the better the committee will be able to identify trends and create actionable steps to work towards improving dental benefits in Maryland. The second form,  the Dental Benefits Concerns and Complaint Reporting Form, is to be completed for all the “other” dental benefits frustrations and concerns you experience in your practice. Again, each form should be specific for one item/issue. This form will also be reviewed to help identify trends and action items for the committee.