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GENERAL CLAIM SUBMISSION FORM SECTION 1 - PLAN MEMBER INFORMATION EMAIL ADDRESS GREEN SHIELD CANADA ID NUMBER SURNAME FIRST NAME PHONE NUMBER ADDRESS COMPANY NAME CITY PROVINCE POSTAL CODE SECTION.

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Green Shield Canada (GSC) is a not-for-profit benefits carrier that provides drug, dental, extended health care, vision, hospital and travel benefits for groups and individuals, as well as administration services.

Your Green Shield Policy Number is UTG. Your ID Number is your student number preceded by UTG. Your identification number ends in -00 while each dependent has a different number, e.g. -01, -02.

A claim form is the document used to start proceedings and contains information relevant to the proceedings including the court reference number to be used on all subsequent court documents, the parties to the proceedings, what is being claimed, particulars of the claim including any claim for interest and contact ...

Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Pre-approval is required for all nursing claims - call Customer Service for details.

Contact our Customer Service Centre (Mon to Fri 8:30 am - 8:30 pm ET) at 1.888.711.1119 or email customer.service@greenshield.ca.

The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of ...

Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Pre-approval is required for all nursing claims - call Customer Service for details.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232