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  • Aetna Gc-8-13 2022

Get Aetna Gc-8-13 2022-2025

Dental Benefits Claim Instructions Any person who knowingly and with intent to injure, defraud or deceive any insurance company or other person files an application for insurance or statement of claim.

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How to fill out the Aetna GC-8-13 online

Completing the Aetna GC-8-13 form online can streamline your dental benefits claims process. This guide provides step-by-step instructions to help users of all experience levels fill out the form correctly and efficiently.

Follow the steps to complete the Aetna GC-8-13 form accurately.

  1. Press the ‘Get Form’ button to obtain the Aetna GC-8-13 form and open it in your preferred editor.
  2. Provide your employer's name in block 1, followed by the policy or group number in block 2. Ensure these details are accurate to avoid any delays.
  3. In block 3, enter your employee's Aetna ID number. This number uniquely identifies your benefits.
  4. Complete block 4 with your name, and block 5 with your birthdate in MM/DD/YYYY format.
  5. Fill in your address in block 7, including the ZIP code. Use black ink for all entries.
  6. In blocks 8-22, provide your daytime telephone number, details of the patient, and any relevant coverage questions.
  7. In blocks 23-27, indicate if any family members have coverage under another plan, and provide the necessary details if applicable.
  8. Sign in block 28 to authorize the release of information to Aetna regarding your dental care.
  9. If directed to do so, sign block 29 to authorize payment of dental benefits to the provider directly.
  10. For dentists filling out the form, begin with block 30 and mark whether this is a request for pre-treatment estimate or statement of services rendered.
  11. Complete blocks 31-48 with necessary details regarding dental services provided, dates, fees, and treatment plans.
  12. Once all sections are filled, save your changes, and you can choose to download, print, or share the completed form.

Complete your dental benefits claims online today for a faster processing experience.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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