Delta Dental demands repayment after a system error overpaid crown procedure claims, CDA says

The California Dental Association is encouraging dentists to act after a Delta Dental of California system error accidently reimbursed dentists for replaced crowns, affecting about 350 self-funded dental groups. 

Delta Dental began sending adjusted claims statements Oct. 21 to about 1,000 California dentists, seeking repayment for the crown procedures. The statements indicate patients are responsible for certain payments made between Oct. 13, 2018 and Jan. 10, 2019 for replacement crowns they received prior to the five-year requirement for dental crowns.

On its website, CDA urged dentists to either file a provider dispute with Delta Dental within 30 days of receiving the notice or manually refund the company and seek payment from the patient.

If a dentist doesn't dispute the demand, Delta Dental can legally deduct the overpaid amount from future claim payments after 45 days.

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