[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-281096-105":53,"doc-detail-281096-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","cigna-dental-dispute-resolution-process-for-dentists-submission-and-resolution-steps","Cigna Dental - Dispute Resolution Process for Dentists - Submission and Resolution Steps","","Cigna Dental Health of California, Inc. provides a structured dispute resolution mechanism for dentists with disputes under the Cigna Dental contract. The process requires timely written submission within 365 days of the initial denial, including complete identifying details, patient and service information, the disputed claim, and clear explanations supported by documentation and, for clinical disputes, narrative and dental records. Cigna acknowledges receipt within 15 business days, issues a determination within 45 business days, and supports arbitration if resolution cannot be agreed upon.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/cigna-dental-dispute-resolution-process-for-dentists-submission-and-resolution-steps/281096/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/cigna-dental-dispute-resolution-process-for-dentists-submission-and-resolution-steps/281096.png","ImageObject",442,249,{"name":88,"@type":89},"Felix Montgomery","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"When must a dentist submit a dispute to Cigna Dental?","Question",{"text":109,"@type":110},"Disputes must be received within 365 days of the initial denial date shown on the Explanation of Benefits, subject to any different time period required by applicable law.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What makes a dispute “complete” for processing?",{"text":114,"@type":110},"A complete dispute must include the dentist’s name and tax identification number, contact person details, patient name plus plan participant ID and date of service, the disputed claim copy (if not previously submitted), a clear explanation, and appropriate supporting documentation.",{"name":116,"@type":107,"acceptedAnswer":117},"How does Cigna Dental communicate the results of a dispute?",{"text":118,"@type":110},"Cigna Dental sends an acknowledgment within 15 business days and a determination letter within 45 business days, explaining the resolution and any additional payment if applicable. 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(“Cigna Dental”) concerning the performance of your Cigna Dental contract, you may access the Cigna Dental Dispute Resolution Mechanism. The key steps for the submission and resolution of disputes are described below.  \nStep One – Dispute Submission  \nDisputes, including those relating to payment of claims or compensation, must be received by Cigna Dental within 365 days of the initial denial as stated on the Explanation of Benefits. This time period is subject to any different time period required under applicable law. Disputes must be written and submitted to the following address: Cigna Dental Health, Inc. , PO Box 188047, Chattanooga, TN 37422-8047.  \nStep Two – Complete Dispute  \nOnly complete disputes will be processed. A complete dispute must include:  \n1. Dentist’s name (i.e. , provider of service)  \n2. Dentist’s Tax Identification Number  \n3. Name, address, and phone number of the contact person at the Dentist’s location  \n4. Your patient’s name, Cigna Dental plan participant identification number, and date of service  \n5. A hard copy of the disputed claim (if not previously submitted)  \n6. Clear and concise explanation of the issue and/or reason for the dispute (e.g. , underpayment, no authorization, benefit issue, contract issue, patient eligibility issue, etc. )  \n7. Appropriate supporting documentation including, but not limited to, the original claim (if not previously submitted) and Explanation of Benefits, if applicable. Disputes with a clinical component must include a narrative and dental records. Incomplete disputes will be returned to the Dentist. Returned disputes may be resubmitted with the missing information within thirty (30) business days from the date the returned dispute is received by the Dentist. If the Dentist is disputing 100 or more claims in a single submission, an electronic Excel spreadsheet, which individually numbers each claim, along with hard copies of the claims (if not previously submitted) and the appropriate supporting documentation (numbered accordingly) are required.  \nStep Three – Communication  \nCigna Dental will send a letter acknowledging the dispute within 15 business days of receipt of the Dentist’s dispute. Furthermore, the Dentist will receive a determination letter that will indicate dispute resolution, explanation for resolution, and amount of additional payment, if applicable. Cigna Dental will send this determination letter within 45 business days of its receipt of the dispute. In the event the Dentist is dissatisfied with the resolution of the dispute through the dispute resolution process, and the parties cannot otherwise reach agreement on the dispute, the Dentist may request arbitration of the dispute.  \n“Cigna” is a registered service mark , and the “Tree of Life” logo,“Cigna Dental,” and “Cigna Dental Dispute Resolution Mechanism” are service marks, of Cigna Intellectual Property, Inc. , licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc.  \n11/11 © 2011 Cigna Cat\\#592192a (Dentist Insert/CA)","cbCairoaFhtWkln1","https://ap.wps.com/l/cbCairoaFhtWkln1","pdf",41016,"English","# Step One – Dispute Submission\n## Submission timing and address\n# Step Two – Complete Dispute\n## Required elements and supporting documentation\n# Step Three – Communication\n## Acknowledgment, determination, and arbitration","[{\"question\":\"When must a dentist submit a dispute to Cigna Dental?\",\"answer\":\"Disputes must be received within 365 days of the initial denial date shown on the Explanation of Benefits, subject to any different time period required by applicable law.\"},{\"question\":\"What makes a dispute “complete” for processing?\",\"answer\":\"A complete dispute must include the dentist’s name and tax identification number, contact person details, patient name plus plan participant ID and date of service, the disputed claim copy (if not previously submitted), a clear explanation, and appropriate supporting documentation.\"},{\"question\":\"How does Cigna Dental communicate the results of a dispute?\",\"answer\":\"Cigna Dental sends an acknowledgment within 15 business days and a determination letter within 45 business days, explaining the resolution and any additional payment if applicable. If still dissatisfied and the parties cannot agree, the dentist may request arbitration.\"}]","Cigna Dental - Dispute Resolution Process for Dentists - Submission and Resolution Steps | PDF",1789564100]