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Claims Form 591692c Dartmouth

Claims Form 591692c Dartmouth

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Video instructions and help with filling out and completing Claims Form 591692c Dartmouth

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Instructions and help about Claims Form 591692c Dartmouth

In this video, I'll be demonstrating how to  fill out the top portion of a dental insurance   claim form for Hugh Morus. So you're going to  start with the very first box in the upper-left  hand corner of the form titled header  information. In this box, you're going to select   the box that says statement of actual services.  Then you can press the tab key and next your way   through to the next area that needs to be filled  in. The authorization number in box number two   does not need to be filled in. You can go  ahead and type in N/A for not applicable.   In box number three this is for  the insurance company information   and we know that Hugh has Prudential insurance   through his employer. You're going to type  Prudential insurance in box number three   also with Prudential's address which we  know is P.O. Box 807. City is New York.  New York with a zip code of 00216. So the next box  area 4 through 11 is for ot

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