Applying for Reimbursements
In the case where you have had to pay for a medical service that is a covered benefit under your insurance policy, you will be required to submit your receipts, the original bill from the provider where it shows your payment, and the completed and signed claim form. Providing the correct documentation will expedite the processing of your claim.
This information should be mailed to the address listed below. We recommend that you keep a copy of all documents submitted for your records.
At any time, please feel free to Contact Us for support.
Providing access to cost effective, quality care is Global Excel’s primary focus. In the USA, many dentists are affiliated with a particular network, which is explained in more detail in our Get to Know my Healthcare System page.
Visiting an ‘in-network’ provider benefits you as the provider will typically not require payment up front (unless there is a co-pay or deductible), and they have already been vetted for both cost and quality.
Name XYZ
Number Street
City State Country
ZIP Code
email@domain.com
Phone: 1 555 555-5555
Toll Free: 1 800 555-5555
Fax: 1 555 555-5555
