If your dental claim is denied or partly denied, you will receive written notice of the denial (referred to as an Explanation of Benefits, or EOB) directly from Delta Dental of Massachusetts with a description of the process available to appeal the determination. If your vision claim is denied or partly denied, you will receive written notice of the denial directly from Davis Vision with a description of the process to appeal the determination.

Provided that you have exhausted all apeals available to you with Delta Dental of Massachusetts or Davis Vision, respectively, you or, if applicable, your beneficiary can request a review of your claim by the Fund.

This request for review should be sent to:

This request must be postmarked within sixty (60) days after you or, if applicable, your beneficiary received notice of the review of the claim.

When requesting a review, please state the reason you or, if applicable, your beneficiary believe the claim was improperly denied and submit any data, questions or comments you or, if applicable, your beneficiary deem appropriate, including but not limited to:

• Member's name and Subscriber Identification Number;
• Description of the problem, including relevant dates;
• Names of providers or others involved.

The Fund will investigate the problem and reply within forty-five (45) days.
The Fund will do its best to resolve your appeal more quickly for services you are either receiving now or planning to receive.

The decision of the Board of Trustees, or the Executive Director acting on their behalf, on the disposition of the appealed claim is final.