providerConnect - Dental Providers

Dental Forms

Dental Authorization / X-Ray Submission Form

Claim Reversal Request

Dental Claim Form

Nova Scotia Government Dental Claim Form

Provider Banking Information Update form

Claims Payment Schedules

For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:

Current Year

Prior Year

Dental Forms

Dental Authorization / X-Ray Submission Form

Claim Reversal Request

Dental Claim Form

Provider Banking Information Update form

Claims Payment Schedules

For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:

Current Year

Prior Year

Dental Forms

Dental Authorization / X-Ray Submission Form

Claim Reversal Request

Dental Claim Form

Provider Banking Information Update form

Claims Payment Schedules

For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:

Current Year

Prior Year