Results for Claims Support (25)

Certain benefits are only eligible when a participant has a qualifying medical condition.  Your claim did not pay because either a medical condition was not provided at time of claim submission, or

For claims submitted online in real-time, you will be prompted to provide proof of payment only when required (but do keep copies for 13 months after the date of service). If submitting claims through

There are times when this information is incomplete or illegible, or the dentist’s office has different information on file than we have for the plan member or participant. Please ensure that the

Your plan has limitations on how often an item, service, or procedure will be covered. As claims are processed, our system keeps track and once you reach your limitation, the claim will be denied. 

A dental maximum is the dollar amount the plan will reimburse in the specified time period. Information regarding your dental maximum can be found on your explanation of benefits or in your benefit