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Dedicated support for dental providers

Contact the Dental Provider Resolution Team

for G.E.H.A claim, benefit, payment or service-related issues.

Refer a Dentist

Thank you for the referral.

Enter the information for the dentist you are referring, as well as your information.

* Denotes a required field.

Dentist Information

Dentist Name

Contact Name

Patient Name

Address

Zip Code

Dentist Phone

Dentist Email

Specialty Type

Your Information

Name

Address

Zip Code

Phone

Email Address

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