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This document outlines the steps to enroll in the Anthem Blue Cross Individual Dental PPO Plan, including filling out the application, selecting a billing type, and submitting necessary information

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4. If you are unsure about any part of the form or instructions, seek clarification. Contact the relevant organization or agency for assistance or consult with someone knowledgeable in that area. It's important to correctly understand and complete the form to avoid any mistakes or delays.
5. Review the completed form before submitting it. Double-check for any errors or missing information. Ensure that all the necessary attachments or supporting documents are included, if required.

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