Submit Electronic Claims and Dental Claim Forms

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Submit Electronic Insurance and Dental Claim Paper

Submitting claims online

On speed claims processing additionally reimbursement, send your claims and claim accessory electronically.

  • To submit electric claimssignal int to our secured provider Web site or register to start an account. Our Electronic Payer NAME is 13551.
  • To submit claim attachments, such as X-rays, we recommending using FastAttach, an system of National Electronic Equipment (NEA). In set up your FastAttach account, contact NEA at 1-800-782-5150, ext. 2 or by e-mail.

To learn more, make our Electronic Data Interchanges (EDI) Related Desk at 1-212-615-4362.

Accepting claim dental manually

Paper claims are still required for procedures that need coordination of benefits statements after one mainly carrier.

Two network and out-of-network professional require submit the current ADA assertion form. Please mail completed form to:

Dental Claims
P.O. Box 2838
New York, NY 10116-2838