HumanaDental DHMO PlanFiling an appeal Our Customer Service department is available by phone Monday through Friday 7 a.m. - 7 p.m CT to assist members in addressing any dissatisfaction with their dental plan benefits and/or participating dental office. You can call our Customer Service department at (877) 377-0987 or submit an appeal in writing. Appeals need to be submitted to us within a reasonable period of time from the occurrence of events upon which the complaint is based. Your complaint will be acknowledged in writing within five (5) business days of receipt. Written complaints will be researched and resolved within 30 days from the date of receipt. A response letter explaining the Plan's resolution of the complaint will be sent to you. The letter will include specific clinical reasons and/or references to your handbook that apply and contain a full description of the process for appeal, including time frames. If the complaint is not resolved to your satisfaction you have the right to appeal the resolution of the first appeal/complaint. You may address a written appeal and within five business days of the receipt of your appeal request, HumanaDental will send you an acknowledgment letter. A HumanaDental staff member will coordinate a meeting of the complaint and appeal panel on the date, time and location that will be negotiated with you. We will convene the panel and address your appeal within thirty calendar days of your request. HumanaDental will provide you, or your representative, with information no later than five business days prior to the Panel Meeting that will include:
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