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Get the free Cigna Dental Care DHMO Teledentistry Form.pdf. Cat. No. 911078

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Cagney Dental Care (DEMO) Teledentistry Form Type: D9995 synchronous Patient Name:D9996 asynchronousAlternative Patient Identifier (AMI#):Date of Teledentistry Service: Rationale for Teledentistry
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How to fill out cigna dental care dhmo

01
To fill out Cigna Dental Care DHMO, follow these steps:
02
Start by obtaining the Cigna Dental Care DHMO form. You can either download it from the Cigna website or request it from your dentist.
03
Fill in your personal information accurately, including your name, address, contact number, and Cigna member ID.
04
Provide details of your current dental condition, such as any symptoms or issues you are experiencing.
05
Indicate the type of dental services you require, whether it's a routine check-up, cleaning, filling, or a specific treatment.
06
If applicable, mention any additional dental coverage or insurance you have that can be coordinated with Cigna Dental Care DHMO.
07
Sign and date the form to validate your submission.
08
Submit the completed form to your dentist's office or the designated Cigna Dental Care DHMO provider.
09
Keep a copy of the filled-out form for your records.
10
Wait for confirmation or approval from Cigna regarding your dental care coverage and any associated costs.
11
Follow up with your dentist to schedule an appointment and receive the recommended dental services.
12
Note: It is always advisable to review the specific instructions provided by Cigna or consult with their customer service representatives for any additional guidance.

Who needs cigna dental care dhmo?

01
Cigna Dental Care DHMO is designed for individuals who:
02
Require routine dental care services, such as regular check-ups, cleanings, and preventive treatments.
03
Prefer a dental care plan that emphasizes cost savings and predictable copayments.
04
Are looking for a network-based dental plan that provides access to a wide range of dentists and specialists within the Cigna Dental Care DHMO network.
05
Do not require extensive dental work or major procedures, as Cigna Dental Care DHMO primarily covers preventive and basic dental services.
06
Are willing to coordinate their dental care through a primary dentist within the Cigna Dental Care DHMO network and follow their referral process if specialized care is needed.
07
It is important to review the specific coverage details and limitations of Cigna Dental Care DHMO to determine if it suits individual dental care needs.
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Cigna Dental Care DHMO is a dental health maintenance organization plan that provides a network of dentists and typically requires members to choose a primary dentist who manages their dental care.
Individuals enrolled in the Cigna Dental Care DHMO plan are required to file any necessary claims or documentation with Cigna for services rendered.
To fill out the Cigna Dental Care DHMO form, obtain the form from Cigna's website or your dentist, provide necessary personal information, details of the dental service received, and submit it as directed.
The purpose of Cigna Dental Care DHMO is to provide affordable dental care through a network of participating dentists while emphasizing preventive care and management of dental health.
The information that must be reported includes patient personal information, details of the dental procedure(s) performed, date of service, and the dentist's information.
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