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Individual Dental Preferred Provider Insurance Cagney Health and Life Insurance Company (Cagney) Individual Services P. O. Box 30365 Tampa, FL 33630 18774845967Cigna Dental Preventive POLICY FORM
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Step 1: Gather all the necessary information required for filling out the form.
02
Step 2: Start with filling out your personal information, such as your name, address, and contact details.
03
Step 3: Provide your Cigna policy information, including your policy number and other relevant details.
04
Step 4: Fill in the details of the dental procedure you are seeking coverage for, such as the type of procedure, date of service, and dentist's information.
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Step 5: Carefully review the form for any errors or missing information.
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Step 6: Sign and date the completed form.
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Step 7: Submit the form to Cigna as per their instructions, either through mail or online submission.

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Anyone who is covered under Cigna dental insurance and residing in Georgia may need to fill out the form 888630a-ooc-cigna-preventive-dental-georgia.
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The 888630a-ooc-cigna-preventive-dental-georgia is a specific form related to the reporting of preventive dental services provided under a Cigna insurance plan in the state of Georgia.
Providers or administrators of dental services who participate in Cigna's preventive dental care program in Georgia are required to file this form.
To fill out the form, provide patient details, the type of preventive dental services rendered, and any necessary identification numbers and signatures as instructed on the form.
The purpose of the form is to report and document preventive dental services provided to patients to ensure they are covered by their Cigna dental insurance plan.
Information that must be reported includes patient demographics, details of the preventive services provided, provider identification, and date of service.
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