Home
Forms Library
Cigna dental claim form

DENTAL CLAIM FORM - cignaglobal 2025

cigna dental claim form Preview on Page 1

See details

4.9 out of 5

53 votes

The document is a Dental Claim Form that outlines how personal information will be collected, used, and shared in accordance with data protection laws. It includes sections for patient details, payment information, and treatment specifics to facilitate reimbursement claims for dental services. The form requires signatures from both the beneficiary and the dentist, along with instructions for submission to Cigna's relevant offices.

Here's how it works

01. Edit your cigna dental claim form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send cigna dental claim form pdf via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out DENTAL CLAIM FORM - cignaglobal with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the DENTAL CLAIM FORM - cignaglobal in the editor.
Begin by filling out the 'PATIENT’S DETAILS' section. Enter the patient's name, policy ID, date of birth, and full mailing address. Ensure you provide a valid email address and telephone number for communication.
In section 6, indicate whether there are any other health or travel insurance policies that may cover these expenses. If yes, provide the necessary details including the full name and policy number of the other insurer.
Proceed to 'PAYMENT DETAILS'. List all expenses for which reimbursement is claimed along with their respective amounts and treatment dates.
Select your preferred payment method and complete any required bank account information if applicable. Ensure you authorize the release of medical information by signing at the bottom of this section.
Finally, have your dentist complete their section by providing treatment codes, charges, and signatures as needed before submitting your form.

Start using our platform today to easily fill out your DENTAL CLAIM FORM - cignaglobal for free!

See more DENTAL CLAIM FORM - cignaglobal versions

We've got more versions of the DENTAL CLAIM FORM - cignaglobal form. Select the right DENTAL CLAIM FORM - cignaglobal version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.9 Satisfied (53 Votes)
2007	4.6 Satisfied (33 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the controversy with Cigna Healthcare?

(AP) A federal lawsuit alleges that health insurance giant Cigna used a computer algorithm to automatically reject hundreds of thousands of patient claims without examining them individually as required by California law. The class-action lawsuit, filed Monday in federal court in Sacramento, says Cigna Corp.

Does Cigna have global coverage?

Cignas experience Weve provided global health insurance for many years. Today we have 86 million customer relationships in over 200 countries and jurisdictions.

Does Cigna Global include dental?

It also covers a wide range of preventative, routine and major dental treatments. ✓ Paid in full,up to the annual benefit maximum,if applicable, for your selected plan per beneficiary per period of cover.

Why do doctors not like Cigna?

Physicians allege misconduct The AMA Litigation Center and the state medical associations alleged that Cignas misconduct is riddled with conflicts of interest and manipulations that routinely shortchanged payments to MultiPlan Network physicians and interfered with the patient-physician relationship.

Is Cigna bad health insurance?

Cigna is generally good, but they use a lot of automated processes for processing auth and claims, and are prone to errors.

international dental claim form

Printable dental claim form cigna global Dental claim form cigna global pdf Dental claim form cigna global pdf download Dental claim form cigna global online Dental claim form cigna global download Cigna Dental Claim form PDF Cigna medical reimbursement form Cigna dental claim address

Why are doctors no longer accepting insurance?

Some doctors dont take insurance for several reasons, including the difficulty of working with insurance companies and the rates set by those companies. Physicians negotiate the price of treatment with health insurers. The health insurance company sets the rates that it will pay the doctor.

Which claim form do we use for dental claims?

The ADA Dental Claim Form provides a common format for reporting dental services to a patients dental benefit plan. ADA policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers.