Business ProfileforAXA Assistance USA, Inc.

Subject: Urgent Complaint Regarding Unresolved Dental Claim and Unprofessional Handling To: *********************** I hope this message finds you well. I am writing to express my frustration and dissatisfaction with handling my dental claim (Claim: ******). Despite providing all required documents and following up multiple times, my claim remains unresolved, and I am still waiting for a satisfactory response.Summary of Issue:On March 28, 2024, *********** (covered under my plan) underwent necessary dental treatments for a severe toothache. The treatments included emergency procedures such as anesthesia, cleaning, drilling, nerve removal, and installation of a porcelain-zirconia crown. Despite the clear coverage for dental expenses in the policy, my claim was denied because the treatment did not result from an accidental injury to sound natural teeth.Critical Points of Complaint:Professionalism and Accuracy: Jingxuan Qis teeth were natural before visiting the dentist and had no prior restorations. The dentists report can confirm this. The claims team has misunderstood the situation or intentionally found reasons to delay payment.Intentional Delays: The lack of response and continuous delays suggest an attempt to postpone the resolution beyond the 90-day period, which would then be used as a reason to deny the claim.Request for Urgent Resolution and Correct Assessment:It has been over two weeks since I received an automatic reply to my follow-up email on May 8, 2024, and I am still waiting for further communication. This delay is unacceptable. I request immediate action to resolve this claim and a correct assessment based on accurate information, not excuses or misunderstandings.