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Dental Insurance Corner: Ohio's external review appeal process and the dentist's role as an advocate for patients in obtaining benefits

ODA Today

     For over a decade Ohio has had a law that provides protections for consumers whose health insurance claims have been denied or reduced in coverage. The law, the Patient Protection Act of 1999, grants consumers the right to request an appeal of their insurer’s decision and provides them with “the opportunity to request an independent, external review for denial, reduction, or termination by their health carrier of certain health care services. Based on the…

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