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  • Great West Life Dental Claim Form

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HEALTHCARE EXPENSES STATEMENT INSTRUCTIONS: Attach the bills and receipts for all expenses and itemize them by providing all the information requested. Note: Drug bills and receipts, other than those.

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Most claim decisions are made within 5 to 7 business days, provided all information is supplied timely and we are successful in obtaining any information that might be lacking. Assuming the claim is approved, and a benefit check is issued, mail delivery could vary depending upon where a claimant is located.

The process of making a dental negligence claim – explained 1 – Obtaining your medical records. The first stage in any claim is to obtain your medical records. ... 2 – Review of medical records and instruction of an expert. ... 3 – Examination. ... 4 – Letter of Claim. ... 5 – Settlement. ... 6 – Issuing Court Proceedings.

Claims may be submitted electronically using Guardian's Payer ID #64246. Guardian does not impose any penalties for untimely submissions. Guardian's toll free dental number is 800-541-7846.

To file a Dental claim electronically, follow these steps. Log into Guardian Anytime. Select Contact us/Secure channel (located in the page footer). Click on Customer Service Request, then click on Dental and fill in all required information. Attach the completed claim form and other documents to upload. Click Submit.

Please contact Great-West Life Customer Service department for all claims enquiries - 1 800 957 9777. Pay Direct Drug Card: The primary plan participant covered under the Extended Health Care plan will be issued a Pay Direct Drug Card.

To submit a claim over the phone, contact our Customer Response Unit at 800-541-7846. For a quicker experience, have the following information ready. Note: Additional information may be needed from you once we start processing your claim.

Dental claims processing includes all aspects of giving care to patients, from the moment a patient is registered with your practice until the explanation of benefits (EOB) and payments are finished. Dental insurance claims can be submitted via paper and electronically.

The ADA Dental Claim Form provides a common format for reporting dental services to a patient's dental benefit plan. ADA policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232