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OREGON INDIVIDUAL CONTRACT PROVIDENCE PROGRESSIVE DENTAL PLAN Mark Jensen, Chief Service Operations Officer Providence Health Plan 4400 NE Halsey, Building 2, Suite 690 Portland, OR 97213PICOR 0120
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Start by gathering all the necessary information such as your personal and contact details, social security number, and employment information.
02
Obtain the 2020 providence progressive dental form either from the official website or by contacting your dental provider.
03
Read the instructions carefully to understand the requirements and sections of the form.
04
Begin filling out the form by providing your name, address, date of birth, and social security number.
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Move on to the section where you need to provide your dental insurance information, policy number, and coverage details.
06
Fill in the details of your dental provider, including their name, address, and contact information.
07
Proceed to the next part where you will need to disclose any pre-existing dental conditions or treatment plans.
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Review the completed form to ensure all the information provided is accurate and complete.
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Sign and date the form, certifying that all the information provided is true and accurate.
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Make a copy of the filled-out form for your records and submit the original to the designated entity or dental provider.

Who needs 2020 providence progressive dental?

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Anyone who requires dental coverage and is eligible for the 2020 providence progressive dental plan.
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Providence Progressive Dental PlanHealth is a dental insurance plan offered by Providence Health Plan.
Employers offering dental insurance through Providence Health Plan are required to file Providence Progressive Dental PlanHealth.
To fill out Providence Progressive Dental PlanHealth, employers need to provide information about the dental insurance coverage offered to their employees.
The purpose of Providence Progressive Dental PlanHealth is to ensure that employees have access to dental insurance coverage as part of their benefits package.
Employers need to report details about the dental insurance plan, including coverage levels, premiums, and enrollment data.
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