Get the free CIGNA Dental Claim Form - Suburban Propane

Dental Claim Form Cagney Dental Insured and/or Administered by Connecticut General Life Insurance Company and Cagney Health and Life Insurance Company For mailing address, call Customer Service at

How to fill out cigna dental claim form

How to fill out a Cigna dental claim form?

1. Start by obtaining the claim form: You can obtain the Cigna dental claim form from your dental provider or download it from the Cigna website. Make sure to use the most recent version of the form.
2. Provide your personal information: Begin by entering your personal details such as your full name, address, phone number, and date of birth. This information is essential for Cigna to identify you as the policyholder.
3. Include policyholder information: If you are not the policyholder but are filling out the claim form on their behalf, you will need to include the policyholder's information such as their name, date of birth, and policy number. This ensures that the claim is processed correctly.
4. Fill in the dentist information: Enter the name, address, and contact details of the dentist or dental facility where you received treatment. This allows Cigna to coordinate with the dental provider for claim verification.
5. Specify the dental treatment received: Provide details about the dental procedure received, including the date of service and the reason for the treatment. Be as accurate and specific as possible to prevent any delays in processing the claim.
6. Attach supporting documentation: Gather any supporting documentation required by Cigna, such as receipts, invoices, or dental x-rays. These documents help in verifying the treatment provided and ensure that the claim is handled efficiently.
7. Review and submit the claim: Carefully review all the information provided on the claim form to ensure its accuracy. Double-check the spelling of names, dates, and policy numbers. Once you are satisfied with the information, submit the claim form to Cigna for processing.

Who needs a Cigna dental claim form?

1. Cigna dental insurance policyholders: Individuals who have a dental insurance plan with Cigna would need a dental claim form to request reimbursement for eligible dental treatments covered under their policy.
2. Dependents covered under a Cigna dental plan: If you are a dependent covered under someone else's Cigna dental plan, you may also need to fill out a claim form to receive reimbursement for your dental expenses.
3. Individuals without electronic claim submission: While some dental providers offer electronic claim submission, others may require patients to manually fill out a claim form. In such cases, individuals seeking reimbursement for dental treatments would need a Cigna dental claim form.

For pdfFiller’s FAQs

What is cigna dental claim form?

The Cigna dental claim form is a document used to request reimbursement for dental services provided by a Cigna network provider.

Who is required to file cigna dental claim form?

Patients who have received dental services from a Cigna network provider and wish to be reimbursed for those services are required to file the Cigna dental claim form.

How to fill out cigna dental claim form?

To fill out the Cigna dental claim form, you must provide your personal information, details of the dental services received, including dates and cost, and any other required documentation. Submit the completed form to Cigna for processing.

What is the purpose of cigna dental claim form?

The purpose of the Cigna dental claim form is to request reimbursement for dental services received from a Cigna network provider.

What information must be reported on cigna dental claim form?

The Cigna dental claim form requires information such as patient's personal details, provider information, services provided, dates of service, and associated costs.

How can I send cigna dental claim form to be eSigned by others?

Once your cigna dental claim form is ready, you can securely share it with recipients and collect eSignatures in a few clicks with pdfFiller. You can send a PDF by email, text message, fax, USPS mail, or notarize it online - right from your account. Create an account now and try it yourself.

Can I create an eSignature for the cigna dental claim form in Gmail?

Upload, type, or draw a signature in Gmail with the help of pdfFiller’s add-on. pdfFiller enables you to eSign your cigna dental claim form and other documents right in your inbox. Register your account in order to save signed documents and your personal signatures.

How do I complete cigna dental claim form on an Android device?

Use the pdfFiller Android app to finish your cigna dental claim form and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.