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Claim Forms & Instructions

DENTAL CLAIMS
  • Most dentists accept assignment of insurance benefits, so it is normally not necessary for you to file the claim.
  • If your dentist does not file insurance claims, he/she will provide you with a standardized ADA (American Dental Association) claim form that he/she has completed to detail the dental work that was performed.
  • Submit the claim form provided by your dentist to our office.
  • Predetermination of benefits is not required, but it is recommended when charges will total more than $200.00.
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