Canada Sun Life Financial Dental Claim Form 2017 free printable template
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Dental Claim Form
Approved by the Canadian Dental AssociationClear×1To be completed by Dentist
Last Caregiver Communiqué Numbers. Patients Office Account No. I hereby assign my benefits payable
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How to fill out Canada Sun Life Financial Dental Claim
How to fill out Canada Sun Life Financial Dental Claim Form
01
Obtain the Canada Sun Life Financial Dental Claim Form from their website or your dental office.
02
Fill out your personal information section including your name, address, and policy number.
03
Provide details of the patient receiving the dental services, including their name and relationship to the policyholder.
04
Complete the dental treatment section by entering the date of service, procedure codes, and descriptions as provided by your dentist.
05
Attach all original receipts for the dental services, making sure they are clear and legible.
06
Review the form to ensure all sections are filled out accurately and completely.
07
Sign and date the form before submission.
08
Submit the completed form along with the receipts through mail or electronically, as per the instructions provided by Sun Life Financial.
Who needs Canada Sun Life Financial Dental Claim Form?
01
Individuals enrolled in a dental insurance plan with Canada Sun Life Financial.
02
Policyholders who have received dental services and need to claim reimbursement.
03
Families who have dependents covered under a dental plan with Canada Sun Life Financial.
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What is Canada Sun Life Financial Dental Claim Form?
The Canada Sun Life Financial Dental Claim Form is a document that policyholders use to submit dental claims to Sun Life Financial for reimbursement of dental services received.
Who is required to file Canada Sun Life Financial Dental Claim Form?
Individuals who have received dental care and are seeking reimbursement for the costs through their Sun Life Financial dental insurance plan are required to file this form.
How to fill out Canada Sun Life Financial Dental Claim Form?
To fill out the form, you need to provide personal information, details of the dental services received, the provider's information, and any other required documentation as specified in the form instructions.
What is the purpose of Canada Sun Life Financial Dental Claim Form?
The purpose of the form is to allow policyholders to formally request reimbursement from Sun Life Financial for expenses related to dental care that they have already incurred.
What information must be reported on Canada Sun Life Financial Dental Claim Form?
Required information includes the patient's name, policy number, the date of service, the type of dental treatment received, the name of the dental provider, and the total amount charged for the service.
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