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Dental Claim Form Guardian Group Dental Claims PO Box 2459 Spokane WA 992102459 1. Type of Transaction (Mark all applicable boxes) Statement of Actual Services Request for Predetermination/Preauthorization

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Step 1: Login to the H Siebel system using your credentials.

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Step 2: Navigate to the attachments section in the dental module.

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Step 3: Click on the 'Fill out new attachment' button.

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Step 4: Fill out the required information such as patient details, attachment type, and any relevant notes.

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Step 5: Attach any necessary files or documents related to the dental case.

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