Canada GSC Dental Claim Form 2013 free printable template

P. O. BOX 1608 Windsor, Ontario N9A 7G1 Attn: Dental Department or Customer Service Center 1-888-711-1119 DENTAL CLAIM FORM PART 1 PROVIDER P A T I E N T Unique No. Patient Last Name Given Name. Address

How to fill out Canada GSC Dental Claim Form

How to fill out Canada GSC Dental Claim Form

1. Obtain a Canada GSC Dental Claim Form from your dentist's office or download it from the Great-West Life website.
2. Complete the patient's information section with your personal details, including your name, address, and policy number.
3. Fill out the dental provider's information, including the dentist's name, address, and the provider number.
4. Specify the services received by entering each procedure code, date of service, and the associated costs for each treatment.
5. If applicable, attach any required supporting documents, such as invoices or receipts, to the claim form.
6. Review the completed form for accuracy and ensure all fields are filled before submitting.
7. Submit the claim form either by mailing it to the address provided on the form or through the online claims submission process if available.

Who needs Canada GSC Dental Claim Form?

1. Individuals who have dental insurance coverage through Great-West Life and have incurred dental expenses.
2. Patients who have received dental services and need to claim reimbursement from their insurance provider.
3. Parents or guardians submitting claims on behalf of their dependent children who are receiving dental care.

People Also Ask about

How long does it take to get reimbursed from Green Shield?

Processing Times: Claims take approximately two weeks to process, which includes the time to mail the reimbursement cheque to your address. Direct Deposit: Students must register on the GSC Everywhere site/application and provide their banking information if they wish to use this option.

How do I get my money back from Greenshield?

When you receive your Welcome Kit, it will include a claim form. You can complete and send it to GSC, along with the receipts. You'll be reimbursed for the expenses eligible under your plan.

How do I email a green shield claim?

Discuss your concern with a GSC Customer Service Representative toll-free at 1.888. 711.1119 or by email at Customer.Service@greenshield.ca. Our agents are trained to handle customer issues efficiently and respectfully.

How do I file a claim with GSC?

0:11 3:45 How to Submit a Claim: An Introduction to gsc everywhere YouTube Start of suggested clip End of suggested clip Once you've selected the type of claim you're submitting. You'll be able to select your provider.MoreOnce you've selected the type of claim you're submitting. You'll be able to select your provider. Any providers you've used in the past will display. So you can find them easily.

How do I get reimbursed from Green Shield?

Calling all health care providers Instantly check your plan members' eligibility. Submit claims to GSC online, for instant adjudication. Assign payment directly to yourself bychequeor to your bank account by direct deposit. Confirmation of applicable coverage will be provided to both you and the plan member.

How long do I have to submit a claim to Green Shield?

ALL CLAIMS MUST BE RECEIVED WITHIN 12 MONTHS OF THE DATE OF SERVICE (unless otherwise stated in your benefit plan documentation). PLEASE ATTACH ALL ORIGINAL DOCUMENTATION and retain copies for your files as original receipts will not be returned.

How do I manually submit a claim to Greenshield?

Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Call Customer Service at 1-888-711-1119 for detailed claims submission instructions.

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What is Canada GSC Dental Claim Form?

The Canada GSC Dental Claim Form is an official document used by patients to claim reimbursement for dental services covered under their insurance plans provided by Group Services Canada (GSC).

Who is required to file Canada GSC Dental Claim Form?

Any patient who has received dental services that are covered by their GSC insurance plan and wishes to seek reimbursement for those services is required to file the Canada GSC Dental Claim Form.

How to fill out Canada GSC Dental Claim Form?

To fill out the Canada GSC Dental Claim Form, patients must provide their personal information, insurance details, and specifics of the dental service received, including procedure codes and costs. Sign the form to certify that the information is accurate.

What is the purpose of Canada GSC Dental Claim Form?

The purpose of the Canada GSC Dental Claim Form is to facilitate the process of claiming reimbursement for dental expenses from the insurance provider, ensuring that patients receive the benefits they are entitled to.

What information must be reported on Canada GSC Dental Claim Form?

The information that must be reported on the Canada GSC Dental Claim Form includes the patient's name, address, policy number, details of the dental services provided, procedure codes, date of service, and the total amount charged.