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並前往https://www.cigna.com/static/www-cigna-com/docs/legal/member-forms/dental-forms/dental-claim.pdf

590154f Dental Claim Form Cigna

10. 33. Missing Teeth Information (Place an “X” on each missing tooth.) 34. Diagnosis Code List Qualifier. ( ICD-9 = B; ICD-10 = AB ).

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