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:
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.