personalized services
Online — 24/7 access to dental claims, benefit information, and much more through our online self-service center, My Blueprint.
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registered? Log in.
Need
to register?
forms
Dental Claim Form (PDF)
Accident Form for Dental Injury (PDF)
Individual and Family Dental Change Form (PDF)
Group Dental Application and Change Form (PDF) — To make a change, please complete this form and return it to your group administrator.
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dental providers
Arkansas Dental Provider Network
National Dental Provider Network
dental plan information
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If you would like personal information on your family’s eligibility, benefits or claim status, please call Customer Service at 1-888-223-4999. Operating hours are Monday – Friday from 7 a.m. - 5 p.m. CST.
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