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DENTAL CLAIM FORM Claim No.___Premier Health PROOF OF CLAIM MUST BE SUBMITTED WITHIN 90 DAYS OF FIRST DAY OF ACCIDENT OR ILLNESS. Please submit completed form via Email to Medical_claims_BM@cgcoralisle.com
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The premier health schedule of benefits is a document that outlines the coverage options, benefits, and limits provided by a health insurance plan.
Employers offering health insurance plans are typically required to file the premier health schedule of benefits.
To fill out the premier health schedule of benefits, you need to provide accurate details about the health plan, including coverage types, benefits, co-pays, and deductibles.
The purpose of the premier health schedule of benefits is to inform employees about their health insurance options and the specifics of the coverage provided.
The information that must be reported includes the plan’s coverage details, premiums, deductibles, out-of-pocket maximums, and any exclusions or limitations.
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