Dental Insurance Claim Form

Customizable form for collecting information about dental insurance claims.

The Dental Insurance Claim mobile app is designed to collect information about dental services and submit claims anytime from anywhere. Complete the form directly from your tablet or smartphone, and send it via email (or you can print it too!) when you’re done.

In addition to using free Dental Insurance Claim Form app version you can get unlimited number of form submissions by subscribing via an optional In-App Purchase and remove all ads by purchasing onetime fee. Subscribe from your device and access these services via mobile app.

You can request a customization of the app so that it works better for you at

https://www.snappii.com/request-a-custom-app

In-App Subscription Details:

• Ad Removal is $0.99 US dollars one-time fee

• Monthly Unlimited Form Submission Subscription to get is $4.99 US dollars per month

• Annual Unlimited Form Submission Subscription to get is $49.99 US dollars per year

• Payment will be charged to Account at confirmation of purchase

• No cancellation of the current subscription is allowed during active subscription period

• Account will be charged for renewal automatically