PO Box 2940
Clinton, IA 52733
Electronic Payer ID:
Certain information is needed to identify your patient. The following fields should be completed on your claim form:
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.
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.
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.
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 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 for all restorative treatment. Make sure that tooth surfaces correspond with submitted CDT code.
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 if your patient has exceeded the standard dependent age limit. Members may also call us with this information.
When Sun Life is the secondary payer, please provide the primary carrier's payment amount.
The content on this page is not approved for use in New Mexico.
Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York. In New York group insurance policies are issued by Sun Life and Health Insurance Company (U.S.) (Lansing, MI). Product offerings may not be available in all states and may vary depending on state laws and regulations.
SLPC 30737 03/21 (exp. 03/23)