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Check your dental statement carefully
After a dental claim is received and processed by the DC 37 Health and Security
Plan, members will receive an Explanation of Dental Benefits Statement (EOB).
It is very important for members to check every EOB carefully. If payment
is to be made to the member, a check will be issued with the EOB. If payment
is made to the dentist, the member will receive a copy of the check with
the EOB. The EOB statement will outline the treatment that the dentist indicated
was provided to the member or eligible dependent.
Since your dental history, including frequency limitations and restrictions,
will be updated based on the information provided on the EOB, you must review
this statement to determine that the dentist completed all of the procedures
indicated.
If you disagree with any of the information provided on the statement, you
must send a letter within 14 days of receiving the EOB, identifying the
information you do not agree with. Send your letter to the DC 37 Health
and Security Plan, Attention: Dental Unit, 125 Barclay Street, New York,
New York 10007. If the plan does not hear from you, they will assume that
the information from the dentist regarding treatment provided to you or
your dependents is accurate.
Reviewing the EOB also helps to prevent fraud.
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