Town of Cary

Dental Claim Reimbursement Form

 

Always use this form when you have a dental expense. If the provider does not accept assignment of benefits, or does not file the claim directly with The P&A Group, complete and sign this form and send to the P&A group.  If your dentist will file your claim directly with The P&A Group, take this completed form to your dentist's office and have them send it to P&A.

 

This section must be completed by the employee:   The employee ID is the last 4 digits of the SS# plus employee month and day of birth (####MMDD)

 

Name of Employee:                                                                                Employee ID:                            

 

Email Address:                                                                         

Please check if you do not have an email address o

 

Name of Patient:                                                                                   

 

Patient's relationship to employee:  o Self                       o  Spouse        o  Son             o  Daughter

 

Is this claim for a spouse/dependent with primary coverage in another plan?  o  Yes  o  No

If Yes, please attach a copy of the Explanation of Benefits.

 

Name of other company:                                                                        

 

Amount of Expense Incurred:$                                       

 

Service Date:                                         (one claim form per date of service)

 

Please check the appropriate box(es):

 

o Please send the eligible amount of reimbursement from the plan directly to the dental provider and use my flex account to pay any remaining balance (out-of-pocket expense) to the dentist.

 

o Please send the eligible amount of reimbursement from the plan directly to the dental provider and I will take care of paying any remaining balance (out-of-pocket expense).

 

o Please send the eligible amount of reimbursement from the plan directly to me and use my flex account to pay any remaining balance (out-of-pocket expense) to me.

 

o Please send the eligible amount of reimbursement from the plan directly to me and I will take care of paying any remaining balance (out-of-pocket expense).

 

I authorize The P&A Group to process this claim and to request information from the provider if/as necessary to process the claim. I certify that the information on this form is accurate and true to the best of my knowledge.

 

                                                                                                                                                           

Signature of Employee                                                                           Date

 

Please include the ORIGINAL insurance claim form from your provider that includes diagnosis and/or procedure code(s) and mail OR fax to:

P&A Group

17 Court St., Suite 500 - Buffalo, NY 14202-3298

Customer Service - Toll Free # 800-688-2611

Toll Free Fax # 877-851-8906

 

**Attention Dental offices Only**- Please make sure your attached invoice / claim form includes your tax ID number, address, and phone number to ensure prompt reimbursement. Online claim submission : http://Dental.padmin.com.

 

Insurance fraud is a felony. Any person who knowingly and with intent to defraud, files a statement of claim containing any materially false, incomplete or misleading information, is subject to disciplinary action by the Town of Cary up to and including dismissal, and may be liable for substantial civil penalties.