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Claim Reimbursement Forms

Dental Claim Form
Vision Claim Form

First time submitting a claim?  It’s easy!
Simple submission instructions are included on the claim form.

​Questions? Contact Member Services for assistance. 

Member Services
855-844-0626
memberservices@directdentalplans.com

Provider Services
855-866-2615
providerservices@directdentalplans.com

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