HomeMy WebLinkAboutRe: City of Twin Falls - Dental Claim
Mike Plane
From:Shayne Nope
Sent:Wednesday, January 18, 2023 18:24
To:Nelson, Christee
Cc:Heather Nope; Price, Toni
Subject:Re: City of Twin Falls - Dental Claim
Christee,
My wife and I feel like we’re taking crazy pills. We’ve gone through this twice with the insurance company and no one
seems to be catching on that the reason she had to have the surgery is because she had an extra tooth that doesn’t have
a number removed from her mouth.
Shayne
Sent from my iPhone
On Jan 18, 2023, at 1:57 PM, Nelson, Christee <Christee.Nelson@hubinternational.com> wrote:
\[EXTERNAL SENDER\]
You bet.
Christee
From: Shayne Nope <snope@tfid.org>
Sent: Wednesday, January 18, 2023 1:55 PM
To: Nelson, Christee <Christee.Nelson@hubinternational.com>; Heather Nope
<heathmcdonald@gmail.com>
Cc: Price, Toni <toni.price@hubinternational.com>
Subject: \[EXTERNAL\] RE: City of Twin Falls - Dental Claim
Thank you.
Shayne T. Nope
City Attorney
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From: Nelson, Christee <Christee.Nelson@hubinternational.com>
Sent: Wednesday, January 18, 2023 1:42 PM
To: Shayne Nope <snope@tfid.org>
Cc: Nelson, Christee <Christee.Nelson@hubinternational.com>; Price, Toni
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<toni.price@hubinternational.com>
Subject: RE: City of Twin Falls - Dental Claim
\[EXTERNAL SENDER\]
Hi Shayne –
I spoke with your wife this morning and let her know I would reach out to Delta Dental to get some
information on why the claim was denied. The following is the response I received from my contact at
Delta Dental.
“Nitrous is not a covered benefit on any of our plans and the first claim submitted required additional
information to process (missing tooth number). The second claim submitted (nitrous is still not a
covered benefit) was denied because based on the documentation provided, our dental consultant
could not see a tooth in the position noted on the chart notes or claim itself (tooth number did not
match x-rays). If the dental office wants to review and resubmit with a corrected (if an error was
made) tooth number, then we can reevaluate and reprocess the claim.”
So, it looks like the dental office can submit the claim again with the corrected tooth number to match
the x-ray and Delta Dental will review and reprocess the claim.
If you have any more questions, please let me know.
Thanks,
Christee
From: Price, Toni <toni.price@hubinternational.com>
Sent: Tuesday, January 17, 2023 6:53 PM
To: Shayne Nope <snope@tfid.org>
Cc: Nelson, Christee <Christee.Nelson@hubinternational.com>
Subject: Re: City of Twin Falls - Dental Claim
Shayne, your spouse is more than welcome to call me direct. It might make it easier. 208-308-8302z
Toni Price
Employee Benefits Broker
Hub International
From: Shayne Nope <snope@tfid.org>
Sent: Tuesday, January 17, 2023 5:13:44 PM
To: Price, Toni <toni.price@hubinternational.com>
Cc: Nelson, Christee <Christee.Nelson@hubinternational.com>
Subject: \[EXTERNAL\] Re: City of Twin Falls - Dental Claim
I’m trying to get the detail from my spouse as I’m ignorant to the facts.
Sent from my iPhone
On Jan 17, 2023, at 12:00 PM, Price, Toni <toni.price@hubinternational.com> wrote:
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\[EXTERNAL SENDER\]
Hi Shayne, I wanted to check back regarding the emails below.
We look forward to talking to you.
Toni L. Price, CIC
208-737-6438
Benefits Consultant / Regional Sales Leader
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HUB International Mountain States Limited
From: Price, Toni <toni.price@hubinternational.com>
Sent: Saturday, January 14, 2023 11:16 AM
To: Shayne Nope <snope@tfid.org>
Subject: Re: Dental Claim
Hi Shayne, my schedule is a bit off as I’m out assisting with my mom for health issues.
To start with, can you tell me which plan you are enrolled in for dental and what was
denied?
If you prefer to visit to start with, I’ll ask my account manager, Christee, to call you
Tuesday so you don’t have to wait on me. She’ll keep me in the loop of all details.
Toni
Toni Price
Employee Benefits Broker
Hub International
From: Shayne Nope <snope@tfid.org>
Sent: Friday, January 13, 2023 5:10:37 PM
To: Price, Toni <toni.price@hubinternational.com>
Subject: \[EXTERNAL\] Dental Claim
Toni,
I had a dental claim denied and wondered if we could schedule some time to discuss any
options I might have.
Best,
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<image002.png> <image004.png>
Shayne T. Nope
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City Attorney
City of Twin Falls
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208.280.8041
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208.735.7374
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snope@tfid.org
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www.tfid.org
203 Main Avenue East
Twin Falls, Idaho 83301
CONFIDENTIALITY NOTICE: This e-mail contains confidential information that is protected by the attorney-client and/or
work product privilege. It is intended only for the use of the individual(s) named as recipients. If you are not the intended
recipient of this e-mail, please notify the sender, and please do not deliver, distribute or copy this e-mail, or disclose its
contents or take any action in reliance on the information it contains.
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