Results for Claims Support (29)

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

Itemized prescription drug receipts from your pharmacist. Receipts must contain: Patient's name Date of service Prescription (Rx) number Drug name Quantity dispensed and, Drug Identification Number (

A maximum is the amount of money that your plan will pay for a benefit.  Some plans pay by the calendar year i.e., January to December; some run on a consecutive month basis for example, $500 maximum