Claim submission tips
- Verify claims address or Electronic Payer ID
Sun Life Financial
PO Box 2940
Clinton, IA 52733
Electronic Payer ID:
- Review Claim Documentation Guidelines
Claim attachments are not always necessary. Review the Guidelines to determine which attachments, if any, are required.
- Double check identification information
Certain information is needed to identify your patient. The following fields should be completed on your claim form:
- Employee Name
- Employee Date of Birth
- ID Number
- Patient Name
- Patient Date of Birth
- Group Name
- Group ID Number
- Submit attachments electronically
You can submit attachments to us electronically through National Electronic Attachment (NEA). For more information, visit www.nea-fast.com.
- Clearly label all submitted x-rays
The label on the x-ray should include the patient's name, date the x-ray was taken, tooth number(s) and the complete name and address of the treating dentist or dental practice.
- Make sure x-rays are of good diagnostic quality
Duplicate x-rays must be of good diagnostic quality. Dental consultants, during professional claim review process, have difficulty in making an accurate benefit determination with duplicate x-rays of poor diagnostic quality.
- Send only one claim
There is no need to submit a claim more than once. Whether you submitted your original claim electronically or through the mail, you can check the status 24 hours a day, 7 days a week. Visit Online Advantage to view the online services available to you.
- Use appropriate CDT Codes
Please use the appropriate CDT codes. Invalid or incorrect codes may cause a delay in your claim payment. Use the most current American Dental Association (ADA) publication.
- Include tooth number
Include tooth number for the teeth involved in the procedure. When submitting a claim for a periodontal procedure that does not include a full quadrant, include specific tooth numbers. Also, remember to include the number(s) of other missing teeth in the same arch when submitting claims for Prosthodontics.
- Include tooth surfaces
Include tooth surfaces for all restorative treatment. Make sure that tooth surfaces correspond with submitted CDT code.
- Submit initial and replacement detail
When submitting claims for Prosthodontics or Crowns, indicate if treatment is initial placement or a replacement. If a replacement, include the date the original prosthetic or crown was placed.
- Include full-time student information
Include full-time student information if your patient has exceeded the standard dependent age limit. Members may also call us with this information.
- Include primary carrier's payment amount
When Sun Life is the secondary payer, please provide the primary carrier's payment amount.
SLPC 28147 03/17 (exp. 03/19)