Claim Appeal Process

KCI Employees
(with DMC Care coverage) and eligible Dependents:

If your claim is denied (in whole or in part) and you feel the denial is incorrect, you can request a review. Your request must include the reasons you believe your claim was improperly denied, along with any supporting documentation.

You must request reconsideration within 60 days from the date on which the written notice denying your claim was sent to you. Your request for review should be addressed to:

DMC CARE
Member Services Department
P.O. Box 44290
Detroit, MI 48244

Within 60 days of receiving your request for reconsideration, DMC Care will review the request and render a decision.  During this process, DMC Care will base its decision upon applicable policies and procedures and any information presented by the member and/or the member's health provider.

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DMC Care Customer Service
(800) 543-0161

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Detroit Medical Center Pencil