Dental claim PPO

Colonial Life dental PPO card

If your dental insurance card doesn't look like this, please visit this page for more information.

How to file a PPO dental claim

To submit a dental claim, download the claim form.

Once you've completed the form, return it to us by choosing one of these options:

  • Return the completed form via email to or 
  • Return the completed form via fax to 855-400-9307
  • Return the completed form via mail to:

         Claims Department           
         P.O. Box 80139
         Baton Rouge, LA 70898-0139

Explanations of benefits (EOB) are available once the claim has been processed. The explanation of benefits will provide, by procedure, the amount that was paid to the provider (if applicable) as well as any remaining balance that is the patient's responsibility.