Mailing addressDentaQuest LLC, Attention: Utilization Management/Provider Appeals, PO Box 2906, Milwaukee, WI 53201-2906
Provider appeals of DentaQuest dental determinations for this plan.
AmeriHealth Caritas Ohio dental only. Current Ohio state index links this manual dated August 20, 2025; date is not inferred to be a 2026 publication or contract-effective date. Section 4.00 lists this written Notice of Appeal destination; follow the current plan notice and filing requirements.
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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member
Questions to resolve
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