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Dental Provider Supplement August 2024KF_2436603001Table of Contents Introduction ............................................................................................................................
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How to fill out keystone first dental supplement
How to fill out keystone first dental supplement
01
Obtain a copy of the Keystone First Dental Supplement enrollment form from the website or provider
02
Fill out the applicant's personal information section including name, address, contact information, and date of birth
03
Provide necessary insurance information such as policy number and group number if applicable
04
Review the coverage options and select the desired dental supplement plan
05
Sign and date the form, ensuring all information is accurate and complete
06
Submit the completed enrollment form through the designated method (online, mail, in person)
Who needs keystone first dental supplement?
01
Individuals who are enrolled in the Keystone First health insurance plan
02
Those who want to have additional coverage for dental services not included in their base plan
03
People who prioritize their oral health and want access to affordable dental care
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What is keystone first dental supplement?
Keystone First Dental Supplement is an additional coverage option for dental services provided to members of Keystone First health insurance program.
Who is required to file keystone first dental supplement?
Dental providers who are contracted with Keystone First and provide services to members.
How to fill out keystone first dental supplement?
Dental providers can fill out the form electronically through the Keystone First provider portal or by submitting a paper form to the claims address.
What is the purpose of keystone first dental supplement?
The purpose of Keystone First Dental Supplement is to ensure that members receive comprehensive dental care in addition to their medical coverage.
What information must be reported on keystone first dental supplement?
Providers must report details of the dental services provided, including procedure codes, dates of service, and charges.
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