google-plus
facebook
instagram
twitter
vine
youtube
vimeo
flickr2
linkedin2
pinterest2
wordpress
Skip to Main Navigation
Skip To The Main Content
Skip to Site Footer
FIND A DENTIST
Contact Us
Join/Renew
Login
Search
Menu
Menu
Member Center
Join/Renew
Membership Benefits
Advocacy + PAC
Regulatory Topics
Practice FAQ
New Dentists
Dental Students
Missouri Dental Practice Act
MDA Store
MDA Governance
Insurance Complaints
Specialist Directory
Meetings & Events
Calendar of Events
Dental Day at the Capitol
Connect4Success
Expanded Functions (EFDA)
Travel & Learn
MERIT (Emergency Response)
House of Delegates
Mission of Mercy (MOMOM)
CE Accreditation & Speakers
News & Publications
News Updates
MoDental On Demand Media
Focus Magazine
Classified Advertising
Read MDA Blog
Marketing to Members
MDA Store
Welcome New Members
Public Resources
Find a Dentist
Low-Income Resources
MouthHealthy (Dental Topics)
Oral Health Education Resources
Fluoride Toolkit
Complaints
About Us
Contact the MDA
Board of Trustees & Staff
Component Societies
MDIS Insurance Services
MDA Foundation
Dental Well Being Foundation
MoDental On Demand
Home
/
Member Center
/
Insurance Complaints
Insurance Complaints
Third-Party Payer Complaints
Are you experiencing problems with third-party payers? You may complete the Insurance Complaint Form below to provide basic information regarding payer issues and complaints. An MDA team member will then contact you for further assistance, and will forward your complaint to the ADA, because they keep a close watch on carrier trends and problems.
Member Name
Click to add
(?)
ADA Number
Click to add
(?)
Office Insurance Staff Name
Click to add
Please provide this contact if you wish for the MDA to speak with a specific person in your office regarding this complaint.
(?)
Office Phone
Click to add
(?)
Office Email
Click to add
(?)
Insurance Company Complaint Against
Click to add
(?)
Description of Insurance Complaint
Click to add
(?)
Generate New Image
Type the code from the image
Member Center
Join/Renew
Membership Benefits
Advocacy + PAC
Regulatory Topics
Practice FAQ
New Dentists
Dental Students
Missouri Dental Practice Act
MDA Store
MDA Governance
Insurance Complaints
Specialist Directory
Meetings & Events
Calendar of Events
Dental Day at the Capitol
Connect4Success
Expanded Functions (EFDA)
Travel & Learn
MERIT (Emergency Response)
House of Delegates
Mission of Mercy (MOMOM)
CE Accreditation & Speakers
News & Publications
News Updates
MoDental On Demand Media
Focus Magazine
Classified Advertising
Read MDA Blog
Marketing to Members
MDA Store
Welcome New Members
Public Resources
Find a Dentist
Low-Income Resources
MouthHealthy (Dental Topics)
Oral Health Education Resources
Fluoride Toolkit
Complaints
About Us
Contact the MDA
Board of Trustees & Staff
Component Societies
MDIS Insurance Services
MDA Foundation
Dental Well Being Foundation
MoDental On Demand
21817625754