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City of Winston-Salem Dental Reimbursement Plan Claim Estimate Form To receive an estimate of coverage for an upcoming dental expense, please complete and return this form to Savers Admin via email:
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What is dental reimbursement plan estimate?
A dental reimbursement plan estimate is an estimate of the expected costs for dental procedures that are submitted to an insurance provider for reimbursement.
Who is required to file dental reimbursement plan estimate?
Anyone who has dental insurance coverage and has received dental treatment or services may be required to file a dental reimbursement plan estimate.
How to fill out dental reimbursement plan estimate?
To fill out a dental reimbursement plan estimate, you will need to provide information about the dental procedure, cost of the procedure, date of service, and any other relevant information requested by your insurance provider.
What is the purpose of dental reimbursement plan estimate?
The purpose of a dental reimbursement plan estimate is to inform the insurance provider of the expected costs of dental procedures so that they can determine the amount of reimbursement to the policyholder.
What information must be reported on dental reimbursement plan estimate?
Information that must be reported on a dental reimbursement plan estimate includes the name of the patient, date of service, description of the procedure, cost of the procedure, and any other relevant information requested by the insurance provider.
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