| DESCRIPTION EFFECTIVE DATE |
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- DESCRIPTION:
Alert: You have not been designated as an authorized OCONUS provider
therefore are not considered an appropriate appealing party. If the
beneficiary has appointed you, in writing, to act as his/her
representative and you disagree with the Dental Advisor's opinion, you
may appeal by submitting a copy of this letter, a signed statement
explaining the matter in which you disagree, and any relevant information
to the subscriber's Dental insurance carrier within 90 days from the date
of this letter.
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