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NOTICE OF AUTHORIZATION
Notice of Authorization
FEES & COPAYS
You can set up secure, automatic payments (by credit card or from a checking account) for your dental insurance here. You'll never have to worry about missing a monthly payment or deal with invoices!
We will automatically charge or withdraw funds from your designated account on or after the 25th of each month for coverage for the following month. It's that easy.
Automatic Payment Setup
Enter your Member ID, Date of Birth, and Last Name to get started
Your Member ID is the 10 digit number located on the payment letter. If you do not know your ID, please call (844)561-5600.
Member DOB is the date of birth of the addressee listed on the payment letter.
Member Last Name is the last name of the addressee listed on the payment letter.