Get the free GROUP DENTAL CLAIM FORM - Great Eastern Life - Yumpu

GROUP DENTAL CLAIM FORM CLAIM SUBMISSION PROCEDURES Please read carefully before 1. The Great Eastern Life Assurance Company Limited (The Company) does not admit liability by the mere issue of this

How to fill out group dental claim form

How to fill out group dental claim form

1. Obtain the group dental claim form from your dental insurance provider or employer.
2. Fill out the patient's information section, including name, date of birth, address, and insurance policy number.
3. Provide details of the dental treatment received, including date of service, description of service, and total cost.
4. Have the dental provider sign and include their contact information on the form.
5. Include any supporting documentation, such as receipts or invoices, with the claim form.
6. Submit the completed form and any documentation to the insurance provider according to their guidelines.

Who needs group dental claim form?

1. Anyone covered under a group dental insurance plan who has received dental treatment and wishes to submit a claim for reimbursement.

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