Short Description
A request submitted to a dental insurance provider for payment of covered dental services received by a patient.
Long Description
A claim is a request for reimbursement submitted to an insurance company after a patient receives dental treatment. It details the services performed, costs incurred, and the portion the insurance provider is expected to cover.
A claims form is used to submit this information, typically completed by the dental office and sent electronically or via mail. Patients receiving care from an out-of-network provider may need to submit the claim themselves to request reimbursement.
Processing times for claims vary but usually take one to four weeks. Patients can track their claims through their insurance provider’s website or customer service. Reviewing Explanation of Benefits (EOB) statements helps ensure claims are processed correctly and payments are applied as expected.