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Baltimore County Public Schools Preferred Dental Care OptionASO FACETS CFMI/GHMSI FS DENTAL (1/19)CareFirst of Maryland, Inc. doing business as CareFirst BlueCross BlueShield 10455 Mill Run Circle
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How to fill out preferred dental-cst2924

01
Obtain the preferred dental-cst2924 form from your dental provider or their website.
02
Fill in your personal information, including your name, address, and date of birth at the top of the form.
03
Provide your insurance information, including policy number and group number, as required.
04
Indicate the type of dental services you are seeking by checking the appropriate boxes.
05
List any relevant medical history or allergies in the designated section.
06
Sign and date the form at the bottom, confirming that the information provided is accurate.
07
Submit the completed form to your dental provider or insurance company as instructed.

Who needs preferred dental-cst2924?

01
Individuals who are seeking dental services and need insurance coverage for these services.
02
Patients currently covered under a dental insurance plan that requires prior authorization.
03
New patients at a dental practice who need to establish insurance coverage.
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Preferred dental-cst2924 is a specific form used for reporting dental insurance claims and benefits provided under a preferred provider organization plan.
Health care providers, specifically dentists and dental practices, who provide services covered by a preferred dental plan are required to file the preferred dental-cst2924.
To fill out preferred dental-cst2924, providers must provide patient information, details of the services rendered, codes for the procedures performed, and billing information as specified by the form instructions.
The purpose of preferred dental-cst2924 is to streamline the process of submitting dental insurance claims to insurance carriers and ensure accurate reimbursement for services provided.
Information that must be reported includes patient identification details, service dates, procedure codes, diagnosis codes, provider information, and billing amounts.
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