Dental Forms
Claim Form
Members of any Horizon BCBSNJ dental plan may use this form to submit a dental claim. ID: 7902
New Jersey's phased approach to administer COVID-19 vaccines to those who live, work or study in the state is now underway.
Notification_closeMembers of any Horizon BCBSNJ dental plan may use this form to submit a dental claim. ID: 7902
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