Denial

A denial refers to an insurance company’s rejection of a dental claim, appeal, or prior authorization request for a dental service.

A dental claim may be rejected for numerous reasons including:

• The dental service was not covered under the patient’s dental plan
• The dentist providing the care was not in-network for the dental plan
• The dental care was delivered during a waiting period or after previous services reached the maximum benefit for the dental plan

Full-Length Articles & Other Resources

• Winning a Dental Insurance Appeal
• Appeal
• Dental Insurance Annual Maximum Benefit
• What Is a Waiting Period?
• Arbitration
• Allowable Charge
• Approved Amount