Dental Claims
For PacifiCare SignatureValue and PacifiCare SignatureSavings plans, there are no claim forms and you do not have to file a claim. You simply pay your provider when you receive services.

For PacifiCare SignatureOptions and PacifiCare SignatureIndependence dental plans, click here to download our printable claim form or you may use a universal claim form, and take it with you when you visit your dental provider. You may submit a dental claim form directly to us at the address printed on the form, or your dentist can submit the claim form for you.

For more information about dental claims, please call 1-800-228-3384.