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BULLSEYE                                                                                             Health and Wellness                                                                           15October 16, 2015

www.aerotechnews.com/nellisafb                                                                                                                                                                      Facebook.com/NellisBullseye

                                                                                                                                       TRICARE             Delta Dental of California            Delta Dental:
                                                                                                                                       Retiree Dental      Federal Govt. Programs Appeals Dept.  1-888-838-8737
                                                                                                                                       Program (TRDP)      P.O. Box 537015
                                                                                                                                                           Sacramento, CA 95853

By 99th Medical Group                                                                                                                  In most cases, appeals must be submitted
                                                                                                                                       within 90 days from the date on your DEOB
Q. How do I file an appeal for a denied dental claim?                                                                                  or determination letter. For more informa-
                                                                                                                                       tion on how your dental program’s appeals
A. To file a dental appeal, follow the instructions on the dental explanation of benefits (DEOB) or deter-                             process works, call your dental contractor
    mination letter for your denied claim. Send your appeal to the dental contractor for your program.                                 or read the “Appeals” section of your dental
    See below for the address.                                                                                                         program’s handbook or brochure.

                                                                                                                                       Contact Information
                                                                                                                                       Active Duty Dental Program Contractor
                                                                                                                                       (United Concordia)
                                                                                                                                       1-866-984-2337
                                                                                                                                       www.addp-ucci.com

Dental Program  Appeals Instructions                                                                 For Help                          TRICARE Dental Program Contractor
Active Duty     Dental Program (ADDP)                                                                United Concordia Companies, Inc.  (MetLife)
                Fill out the “Appeal Form”                                                           (UCC): 1-866-984-2337             1-855-638-8371 (CONUS)
Tricare Dental  in the Active Duty Service                                                                                             1-855-638-8372 (OCONUS)
Program (TDP)   Member portal at                                                                     MetLife: 1-855-638-8371           mybenefits.metlife.com/tricare
                www.aaddp-ucci.com                                                                   (CONUS) or 1-855-638-
                or submit your appeal in                                                             8372 (OCONUS)                     TRICARE Retiree Dental Program
                writing with a a copy of your                                                                                          Contractor (Delta Dental)
                bill to: United Concordia Companies, Inc.                                                                              1-888-838-8737 (Stateside)
                ADDP Unit – Appeals                                                                                                    AT&T USADirect Access Number +
                P.O. Box 69430                                                                                                         866-721-8737
                Harrisburg, PA 17106-9430                                                                                              www.trdp.org
                MetLife TRICARE Denteal Program Appeals
                P.O. Box 14183                                                                                                         Send your questions to
                Lexington, KY 40512                                                                                                     askthedoc@us.af.mil
                Fax: 1-855-763-1335

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