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ACCENT DENTAL NELSON WU DDS PATIENT INFORMATION (CONFIDENTIAL) NAMED ATE FIRSTMILASTADDRESSCITYEMAILCELL PHONES#/SINBIRTHDAYCHECK APPROPRIATE BOX:MINORSINGLEMARRIEDSTATE/PROV ZIP/P.COME PHONEDIVORCEDWIDOWEDIF
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Start by gathering all the necessary paperwork, including personal identification and dental insurance information.
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Accent Dental - Nelson is a dental insurance plan that offers various coverage options for dental care, including preventive, basic, and major services.
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The purpose of Accent Dental - Nelson is to provide dental insurance coverage to individuals, helping them manage their dental care costs and access necessary dental services.
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Information that must be reported includes the patient’s name, policy number, date of service, procedure codes, charges for services, and provider details.
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