Get the free UBC AMS/GSS DENTAL CLAIM FORM - ihaveaplan

DO NOT WRITE IN THIS SPACE UBC AMS/GAS DENTAL CLAIM FORM Mail: PO Box 7000, Vancouver, BC? V6B 4E1? ? Drop it off: 4250 Canada Way, Burnaby, BC? ? www.pac.bluecross.ca Please enclose all supporting

How to fill out ubc amsgss dental claim

How to fill out ubc amsgss dental claim:

1. Obtain the ubc amsgss dental claim form from the appropriate source. This may be available online or through your university's student services office.
2. Begin by filling in your personal information such as your full name, student ID number, and contact details. Ensure that you provide accurate and up-to-date information.
3. Indicate the date of the dental service by filling in the corresponding field on the form.
4. Specify the name and address of the dental service provider who provided the treatment.
5. Provide a detailed description of the dental service or treatment received. Include the specific procedures performed as well as any relevant codes if provided by the dentist.
6. If there are any fees associated with the dental service, indicate the amount paid by you and any additional charges not covered by insurance.
7. Attach any necessary supporting documentation, such as receipts or invoices, to verify the expenses claimed. Ensure that these documents are legible and clearly relate to the dental service listed on the form.
8. Sign and date the ubc amsgss dental claim form to certify the accuracy of the information provided.
9. Submit the completed form and any supporting documents as instructed. This may involve mailing it to a designated address or submitting it online through a specific portal.

Who needs ubc amsgss dental claim:

1. Students who are enrolled in the UBC (University of British Columbia) amsgss (Arts and Social Sciences Graduate Student Society) dental plan will typically need to fill out a ubc amsgss dental claim.
2. Individuals who have received dental services covered by the UBC amsgss dental plan and wish to seek reimbursement for the expenses incurred will need to complete this claim form.
3. This form is especially important for those who have paid for the dental services out-of-pocket and need to submit a claim to be reimbursed by the insurance provider.

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What is ubc amsgss dental claim?

UBC AMS/GSS dental claim is a form used to request reimbursement for dental expenses covered under the AMS/GSS Health and Dental Plan.

Who is required to file ubc amsgss dental claim?

Students who are enrolled in the AMS/GSS Health and Dental Plan are required to file UBC AMS/GSS dental claims.

How to fill out ubc amsgss dental claim?

To fill out the UBC AMS/GSS dental claim form, you must provide your personal information, details of the dental service received, and any supporting documentation such as receipts.

What is the purpose of ubc amsgss dental claim?

The purpose of the UBC AMS/GSS dental claim is to request reimbursement for dental expenses covered under the AMS/GSS Health and Dental Plan.

What information must be reported on ubc amsgss dental claim?

The UBC AMS/GSS dental claim form requires details such as your name, student number, date of birth, details of the dental service received, date of service, and the total amount of the claim.