Health Risk Assessment
LIBERTY Dental Plan Corporation received full Dental Plan accreditation by URAC as of 7/1/2019
2017HITRUST Certified
2018HEDIS NCQA Certified
Please Complete one form for each person in your family who is enrolled in LIBERTY. If you have questions, please call LIBERTY, toll free at 1.833.276.0850. A representative is available to speak with you Monday through Friday, between 8:00 am and 7:00 pm. TDD/TTY users should dial 1.877.855-8039.
Filling out this form is voluntary. You will not be denied care based on your confidential answers.