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If you need to submit a dental claim, mail or fax the claim form and supporting. If you choose to submit the appeal, please note that information from your. I understand that i am responsible for all costs of dental treatment. Participating dentists will usually file claims for you. If you need to submit a dental claim, mail or fax.
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L all claim forms should be submitted to united concordia as soon as possible after the service date,. If you need to submit a dental claim, mail or fax the claim form and supporting. Please mark (x) in the field, that best describe the condition of the adsm, using as a suggested minimum a clinical examination with mirror. If you need to submit a dental claim, mail or fax the claim form and supporting.