We’re Here to Help
It’s our goal to make the insurance process easier for you, so you can get back to what matters most – your patients. Get the information you need to help keep your patients happy and your business running smoothly.
Please call 888-358-9484 if you have questions or need help with:
- Pre-treatment estimate requests or claims for payment
- Patient eligibility and benefit information
- Review the status of submitted claims
- Review claims history and direct deposits
Note: Members who are part of an employer-sponsored group plan: 800-894-4532. You can also look up eligibility with the Renaissance Provider Quick Search (for Renaissance group-sponsored plan members only).
Request Procedures
If you need assistance or information regarding internal processes, email providerservices@renaissancefamily.com to request procedures.
Download Dental Claim and Pre-Treatment Estimate Forms
Need to submit a dental claim or request a pre-treatment estimate? Simply complete the following form and submit it electronically via payor ID RLHA1. You can also mail the completed form to P.O. Box 1596, Indianapolis, IN 46206.
DENTAL CLAIM FORM [D-101C]
DENTAL CLAIM FORM SPANISH [D-101C-SP]
Note: The Network plan does not have requirements for authorizing referrals. Covered persons may visit any dental provider they choose.
Grow Your Dental Practice with Renaissance
One of the best ways to reach new dental patients is by joining a reputable network.
Renaissance is part of the Renaissance Health Service Corporation that has more than 60 years of claims experience and collectively provides coverage for more than 13.3 million people paying out nearly $3.7 billion for dental care annually.
We partner with several dental PPO networks to provide our members with maximum choice and value. This includes more than 450,000 participating dental provider access points nationwide.1
Why Join a Dental PPO Network?
- Attract new patients
- Provide a better patient experience
- Ease the burden of benefits administration
Interested in becoming an in-network provider with Renaissance?
Email providerservices@renaissancefamily.com to find out how to join one of our network partners.
Resources for you and your patients
You work hard to provide quality care for patients, and we’re here to support you.
