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Cagney Health and Life Insurance Company may change the premiums of this Policy after 45 days written notice to the Insured Person. No such change will be made until 12 months after the Effective

How to fill out nc-cigna-dental-1500-policy

How to fill out nc-cigna-dental-1500-policy

1. To fill out the nc-cigna-dental-1500-policy form, follow these steps:
2. Start by entering the patient's personal information, including their name, date of birth, and address.
3. Next, provide the policyholder's information if different from the patient. This may include the employer's details as well.
4. Fill in the policy information section, including the policy number, effective date, and group number.
5. Complete the dental office information, such as the name, address, and dentist's details.
6. Specify the type of treatment or services rendered by indicating the procedure codes and descriptions.
7. Provide the date of service and any relevant tooth numbers if applicable.
8. Include any supporting documentation or notes that may be required.
9. Review the completed form for accuracy and make any necessary corrections.
10. Sign and date the form, indicating your consent and agreement with the provided information.
11. Finally, submit the form to the appropriate party, such as the insurance company or dental office.

Who needs nc-cigna-dental-1500-policy?

1. Anyone who has a dental insurance policy with Cigna and wishes to file a claim or seek reimbursement for dental services can benefit from the nc-cigna-dental-1500-policy. This form helps facilitate the process of documenting and submitting dental expenses for insurance coverage. It is for individuals who have received dental treatments or services covered by their policy and need to seek financial reimbursement from Cigna.

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What is nc-cigna-dental-1500-policy?

nc-cigna-dental-1500-policy is a dental insurance policy provided by Cigna that covers up to $1500 of dental expenses.

Who is required to file nc-cigna-dental-1500-policy?

Employers or individuals who purchase the nc-cigna-dental-1500-policy are required to file the policy when submitting dental claims.

How to fill out nc-cigna-dental-1500-policy?

To fill out the nc-cigna-dental-1500-policy, detailed information about the dental procedures and expenses incurred must be accurately recorded on the claim form provided by Cigna.

What is the purpose of nc-cigna-dental-1500-policy?

The purpose of nc-cigna-dental-1500-policy is to help cover a portion of dental expenses for individuals who are covered under the policy.

What information must be reported on nc-cigna-dental-1500-policy?

Information such as the date of service, type of dental procedure, provider information, and cost of the procedure must be reported on the nc-cigna-dental-1500-policy claim form.