Q. I have a MetLife claim that has a validation error. When I try to open the claim to fix it I get a message that states: Our records do not indicate that anyone with the identification number you entered was eligible for coverage under a MetLife dental benefit plan. If you feel you have entered this information incorrectly please re-enter the patient's identification number below and click "Continue" to proceed with your request. If you would like to view your rights to appeal this benefit determination click HERE. How do I submit this claim?
A. This claim must first pass MetLife's eligibility database. The subscriber ID#, the last name and the group # must exactly match the information that is stored in MetLife's database. In most cases, the group # has probably changed, and the patient may not even be aware of the change.
If you are not sure of the group # or the spelling of the last name, call MetDental at 1-877-METDDS9 (877-638-3379), and select options 1, then 2, then 1 at the voice prompts. Give the representative the subscriber ID and ask for the spelling of the last name and the most current group #. Enter that information as it appears in MetLife's database and click Continue. If MetLife confirms that there is no current coverage for the patient, call 1-800-624-2904, option 3, and ask a ClaimConnect representative to delete the claim for you.