In what situations are claim forms required?
Claim forms will be required when you must submit the bills to BCI yourself, usually with non-participating providers or non-participating pharmacies. Back to Top DENTAL Q: Is pre-determination necessary for dental coverage? A: A treatment plan should be submitted by your dentist to BCI prior to your treatment for the following procedures: Crowns, Full or Partial Dentures, Inlays, Periodontal Surgery (including curettage), Bridgework, Surgical Removal of Impacted Teeth, Laminate Veneers and Bonding Procedures. If a claim for completed treatment is submitted that includes covered services for which benefits have not been pre-determined, the claim will be reviewed in the same manner as if it were being submitted for pre-determination. BCI will consider whether alternate procedures would have produced a professionally satisfactory result. If you and your dentist have chosen a more expensive method of treatment than is determined professionally satisfactory by BCI, BCI will pay benefits fo
