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How to File a Dental Claim (Standard Option only):

If you live in Delaware, the District of Columbia, Maryland, or Virginia:

Use a CareFirst Blue Cross Blue Shield dental claim form and follow the instructions on the form. Claims must be filed by December 31st of the year after the year you received services. You are responsible for making sure your claims are filed within the timely filing deadline.

Standard Option dental claims are to be sent to the following address for processing:

              CareFirst Blue Cross Blue Shield
              P. O. Box 96242
              Washington, DC 20090-2642

If you have any questions, please contact a SAMBA Member Services representative at 1-800-638-6589 or 301-984-1440 (for TDD, use 301-984-4155).

 

If you live anywhere other than Delaware, the District of Columbia, Maryland, or Virginia:

Use a SAMBA dental claim form and follow the instructions on the form. Claims must be filed by December 31st of the year after the year you received services. You are responsible for making sure that claims are filed within the timely filing deadline.

Standard Option dental claims for your area should be sent to:

              SAMBA Health Plan
              11301 Old Georgetown Rd.
              Rockville, MD 20852-2800

If you have any questions, please contact a SAMBA Member Services representative at 1-800-638-6589 or 301-984-1440 (for TDD, use 301-984-4155).

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