Insurance Denials
Submit your insurance denials so that we can send them to the Officer of Insurance Commissioner.
Name
*
First Name
Last Name
Email
*
example@example.com
Denturist Office
*
Office Location (city)
*
Insurance provider that denied
*
Description of the treatment that the patient obtained
*
Description of the denial (if provided)
Submit any correspondence (email, denial letter, etc.)
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