Quick Reference Guide

Prime and complete

All other dental products

Paper claims address

Please review the back of the member’s ID card to determine the appropriate dental claims mailing address (address varies by group). In the absence of an address, call the number on the back of the ID card for instructions on where to submit the claim.

Please review the back of the member’s ID card to determine the appropriate dental claims mailing address (address varies by group). In the absence of an address, call the number on the back of the ID card for instructions on where to submit the claim.

Electronic claims

Follow current process or contact your clearinghouse.

Follow current process or contact your clearinghouse.

Customer service numbers

See back of patient’s ID card.

800-627-0004

Grievance/appeals

Attn: Dental Claims
Appeals & Grievances
P.O. Box 1122
Minneapolis, MN 55440

Appeals: First Level Appeals Review
P.O. Box 659471
San Antonio, TX 78265

Professional services

866-947-9398

866-947-9398

Language Assistance Program

See back of patient's ID card.

800-627-0004