Upload a Document
Use our Direct Connect secure upload service to submit supporting documentation for claim review.
Include a new claim form
with up to eight (8) PDF, JPEG, GIF, PNG, MS Word, or MS Excel files, totalling less than 20 MB, which may be uploaded at once. To send more files, please use a new secure upload form and include a note in the description field identifying the claim the files are associated with
Please note:
This secure upload tool is not intended to be utilized for regular claim submission. For expedited processing please submit claims electronically using payor ID 31117 for Superior Dental Care or 29076 for Medical Mutual. Claims may also be mailed to PO Box 6018 Cleveland Ohio 44101-1018.
Review our
SDC claim submission guidelines
or
Medical Mutual claim submission guidelines
for more information.
Who are you:
Dentist
*
Your Name:
*
Office / Treating DDS:
*
Phone Number:
Email:
*
Member ID:
*
Document:
*
Upload additional file
Document Description:
*
Please wait, uploading file.