Dental Provider Filing for Medical Services

Policy Number: DP-X-002

Last Updated: Sept. 12, 2022

You must use the CMS 1500 Claim Form when billing for services covered under the patient’s medical benefit plan. As a network provider, you have agreed to file all claims, dental or medical, to Blue Cross and Blue Shield of Nebraska for any covered benefit provided to our members and to accept our payment as payment in full.