For other uses, see Dominic (disambiguation). Dominic is a name common among Roman Catholics and other Latin-Romans as a boys name. Originally from the late Roman-Italic name Dominicus its translation means Of Our Lord, Lordly, Belonging to God or of the Master.
ï· Call us at 1-888-693-3211. ï· Fax an eviCore healthcare request form (available online) to 1-888-693-3210. Also, to ease the administrative burden of requiring prior authorization of OB Ultrasound studies, providers may batch service requests for up to 12 weeks and cases may be reviewed retrospectively for.
Claims can be submitted electronically, mailed or faxed. Electronic payments can be submitted through Emdeon, Tesia, or Dental Exchange.Payer ID: (Electronic Submission): GI813 Mailing Address: Managed DentalGuard P.O. Box 254888 Sacramento CA 95865 Fax Number: (877) 679-7197 or (916) 679-7197 Note: Only claims that do NOT require x-rays can be faxed.