This form is to be completed when submitting a dental claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
This form is to be completed when submitting a dental claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
Contact
Hours of Service
Drug Claims
8:00 am – 9:00 pm EST (Mon-Fri)
11:00 am – 4:00 pm EST (Sat-Providers ONLY)
Dental and EHC Claims
8:00am – 9:00 pm EST (Mon-Fri)
Claims or Receipts
ClaimSecure Inc
P.O Box 6500, Station A,
Sudbury, Ontario
P3A 5N5