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220 Burnham Street South Windsor, CT 06074 Fax 8602890055 IDAHO BLUE CROSS DENTAL ELECTRONIC CLAIMS ENROLLMENT REGISTRATION PAYER ID NUMBER SPECIAL NOTESELECTRONIC REGISTRATIONS Agreements Requirement
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What is dental claims enrollment formschange?
Dental claims enrollment formschange are forms used to enroll in a dental claims program or make changes to an existing enrollment.
Who is required to file dental claims enrollment formschange?
Dentists, dental clinics, or dental service providers are required to file dental claims enrollment formschange.
How to fill out dental claims enrollment formschange?
Dental claims enrollment formschange can be filled out by providing all required information, including provider details, patient information, and treatment codes.
What is the purpose of dental claims enrollment formschange?
The purpose of dental claims enrollment formschange is to ensure that dental providers are properly enrolled in a dental claims program and to facilitate the processing of dental claims.
What information must be reported on dental claims enrollment formschange?
Information such as provider name, contact information, license number, patient demographics, treatment codes, and payment details must be reported on dental claims enrollment formschange.
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