Get Denti Cal Claim Form Pdf

The most common misconception surrounding the Medi-Cal program and dentistry is that Denti-Cal is a separate program that people have to qualify into or out of; this is simply untrue. Nearly everyone that qualifies for Medi-Cal benefits can reap the benefit of Denti-Cal with no additional work on their part.

History can be located by using the Interactive Voice Response (IVR) system when calling 800-423- 0507. The IVR is available 22 hours a day, 7 days a week.

If your provider number is deactivated, you must reapply for enrollment in the Denti-Cal Program. To request an enrollment package, please contact the Denti-Cal Provider Customer Service line at (800)-423-0507, or download the Denti-Cal application forms from the Denti-Cal website at http://.denti-cal.ca.gov.

Where Can I Access My Medi-Cal Member Services? You can access your member services online through your plan's website and the Covered California website. Each service manages different aspects of your coverage.

For automated messages providing member eligibility information, call the Automated Eligibility Verification System (AEVS) at 1-800-456-2387. When prompted, enter the information found on the Member Identification Card (BIC ID).

The most common misconception surrounding the Medi-Cal program and dentistry is that Denti-Cal is a separate program that people have to qualify into or out of; this is simply untrue. Nearly everyone that qualifies for Medi-Cal benefits can reap the benefit of Denti-Cal with no additional work on their part.

To file a claim, you must submit a Medi-Cal Claim Form for Beneficiary Reimbursement. The claim form must be filled out in blue or black ink; • The claim form must have an original signature (no copies will be accepted); The Claim Form must include: • A photo copy of your Medi-Cal Beneficiary Identification Card (BIC).

One of the benefits offered for children and adults is dental care through the Denti-Cal program. Denti-Cal services include: Cleanings: Dental cleanings help prevent cavities, stop tooth loss, and lessen a person's chances of developing heart disease or suffering from a stroke.