Health Care Professional's Federal Tax Identification Number Name and address of person or institution providing the service or supplying the item To submit a dental claim for out-of-network services, you can download a claim form. New Jersey requires Providers to file claims on behalf of members, unless the person elects to file a claim themselves. Generally, since these dental plans require the use of in-network dentists for most covered dental services, there will be no need to file claims. and 6 p.m., Eastern Time (ET) and Thursday, between 9 a.m. ![]()
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