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Table of Contents
Changes for 2024
FEDVIP Program Highlights
Section 1 Eligibility
Section 2 Enrollment
Section 3 How You Obtain Care
Section 4 Your costs for Covered Services
Section 5 Dental Services and Supplies Class A Basic
Class B Intermediate
Class C Major
Class D Orthodontic
General Services
Section 6 International Services and Supplies
Section 7 General Exclusions - Things We Do Not Cover
Section 8 Claims Filing and Disputed Claims Process
Section 9 Definitions of Terms We Use in This Brochure
Discounts
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Summary of Benefits
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Blue Cross Blue Shield FEP Dental Brochure - 2024

 
 

 

Blue Cross Blue Shield FEP Dental
Section 8 Claims Filing and Disputed Claims Process

 

How to File a Claim For Covered Services

 

To avoid delay in the payment of your dental claims, please have your dentist submit your claims directly to your FEHB plan (should you be enrolled), then to BCBS FEP Dental. Pre-treatment estimates and diagnostic quality preoperative periapical radiographs and/or panoramic images can be submitted directly to BCBS FEP Dental (Exception: If accidental injury occurs, pre-treatment estimates should be submitted to your FEHB plan).

If you need to send in a claim you may download a claim form from BCBS FEP Dental’s website, www.bcbsfepdental.com.

Mail completed claim form to:

BCBS FEP Dental Claims
P.O. Box 75
Minneapolis, MN 55440-0075
 

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