Confidential communications
California law states that you can ask for confidential communications regarding the receipt of sensitive services. These types of services can include:
Bills and attempts to collect payment
A Notice of Adverse Benefit Determination(s)
An Explanation of Benefit notice(s)
A Plan’s request for additional information regarding a claim
A notice of a contested claim
The name and address of a provider, description of services received, and other information related to a visit
Any verbal, written or electronic communications from the Plan that contain protected health information
To request confidential communications from LIBERTY for any of the services listed above, please call Member Services or you can submit a request in writing by mail to the address below:
Address
LIBERTY Dental Plan
C/O Privacy Officer
1730 Flight Way, #125, Tustin, CA 92782
privacy@libertydentalplan.com
Phone
LIBERTY’s Member Services at (888) 703-699
TDD/TTY
(877) 855-8039