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37 – Insured’s Signature

 

This information pulls from the Visit, at the top right of the screen “Accept Assignment”. You can set this box to automatically check in General Settings, Administration, Defaults to translate to the Patient Information screen OR check the box manually in Patient Information so that it will automatically pull forward to every Visit.

The signature and date (or signature on file notice) are required when the insured wishes to have benefits paid directly to the dentist/provider. This is an authorization of payment. It does not create a contractual relationship between the dentist or dental entity and the insurance company.