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We accept the Standard Health Insurance claim submitted by mail or fax at the contact information below.
We also encourage electronic Short Term Medical claim submissions online through Availity. Visit the Online Claims page to get started.
Standard ADA claim forms can be submitted by mail or fax to the address or number to the right.
However, we highly encourage dental providers to submit claims electronically through the Dental Center or Availity. Visit the Online Claims page to get started.
LifeMap participating dentists agree to bill us directly for covered services provided to their LifeMap patients, within one year of the date of service.
Once coverage is verified, patients should not be asked for full payment at the time of service. However, patients may be asked for copayments, coinsurance and deductibles at the time of service
After services are rendered, the patient should be billed only for any remaining deductible, copayment and/or coinsurance amounts not collected, or for non-covered services.
Receiving claims electronically is our preferred method to ensure ease of doing business with us. Make sure you are registered with Availity or the Dental Center to submit eClaims.
LifeMap - STM Claims
PO Box 1271 MS E8L
Portland, OR 97207-1271
Fax: 1(855) 207-1205
LifeMap - Dental Claims
PO Box 783
Milwaukee, WI 53201
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