W xxxxxx Notice of Dental Claim/Proof of Loss. i. There must be written proof of loss within 12 months after the date of the loss. Failure to furnish such proof within the time required will not invalidate nor reduce any claim if it was not reasonably possible to give written proof in the time required provided that the proof is filed as soon as reasonably possible. A notice of claim submitted by you, on your behalf, or on behalf of your beneficiary with information sufficient to identify you will be considered notice of claim. ii. Send your Notice of Claim/Proof of Loss to Delta Dental at the address shown below: Delta Dental P.O. Box 1809 Alpharetta, GA 00000-0000 000-000-0000 fax
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Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract