|
The Pacific Blue Cross dental claim form is available from the link below. Please remember to attach your reciept if the dental service provider has not signed the claim form.
 Click here to get the dental claim form
Please note:
|
|
About using forms in Acrobat
|
- Due to a limitation with the free version of Acrobat Reader, you will not be able to save the information on this form that you enter using your computer. You will only be able to print the the information and return it to PBC. If you would like to be able to save the data entered into the form, you will need to purchase an upgrade to either Acrobat Approval or the full Acrobat product. These upgrades are available on the Adobe web site.
- To print this form, click on the print icon in the Acrobat toolbar.
- If you require further assistance, please see our Acrobat Help Page.
|
|
|
