Other Services

Language Support

We have English and Spanish web sites. We also offer support in many languages. If you need further help with your benefits or talking to your dentist, call and ask. We'll find someone to help.

Resolving Problems

If you have questions about your child's dental care, talk to your child's Main Dentist. He or she may be able to answer your questions. If, after talking with your dentist, you are still not happy, there is a formal Complaint, and Appeal process to address your concerns.

Complaints

If you are not happy and would like to file a complaint, you can fill out a Complaint Form or contact us for help.

Appeals

You can file an appeal if you are not happy with the complaint. You cannot appeal a decision about the annual maximum benefits or member eligibility. Please use our Appeal Form.

Filing with the Texas Department of Insurance

You can file a complaint with the Texas Department of Insurance at any time. You do not have to contact Delta Dental first. Contact the Texas Department of Insurance for a form and instructions on filing a complaint.

Mailing address:: Texas Department of Insurance

P.O. Box 149091
Austin, Texas 78714-9091
Toll-free telephone number:: 1-800-252-3439
Fax:: 1-562-924-6914
Website:: www.tdi.state.tx.us (for instructions and complaint forms)

Reporting Waste, Abuse and Fraud

If you think a doctor, dentist, or other health care providers, or a person getting benefits is doing something wrong, let us know. We'll investigate. Waste, abuse and fraud is not only against the law, it increases dental care costs for all.

What is Waste, Abuse and Fraud

Here are some examples:

Getting paid for services that weren't given or necessary
Not telling the truth about a medical condition to get medical treatment
Letting someone else use their CHIP ID
Using someone else's CHIP ID
Not telling the truth about the amount of money or resources he or she has to get benefits

How to Report

You can report online, by phone or by mail.

Telephone: Call the OIG Hotline at 1-800-436-6184.
Online: Visit The Office of Inspector General and complete the online form.
Mail: You can report directly to us, please fill out our Waste Fraud and Abuse Form.

What to Report

Gather as much information as possible. When reporting about a provider (a doctor, dentist, counselor, etc.) include:

Name, address, and phone number of provider
Name and address of the facility
CHIP number of the provider and facility, if you have it
Type of provider (doctor, dentist, therapist, etc.)
Names and phone numbers of other witnesses who can help in the investigation
Dates of events
Summary of what happened

If you do not have the Adobe Acrobat Reader plug-in, you will need to download it to view and print some of these documents.