** Important information for Active Duty Service Members**

COVID-19 update: To ensure the safety of both patients and dental staff, the American Dental Association is asking that all elective (non-emergency) dental procedures be postponed at this time. Click here for more information on dental emergencies.

If you are experiencing a dental emergency (emergency dental care includes any treatment necessary to relieve pain, treat infection, or control bleeding) you should:

  • Call United Concordia’s dental emergency line at 1-800-858-0051*
For more information on remote and DTF-referred emergency policies, click here.

* Note that this line is to be used for dental emergencies only.  It is available Sunday, 6:00 pm - Friday, 10:00 pm, Eastern Time.

You may also seek care for a dental emergency from your closest emergency room; however, please understand that the healthcare system may be overwhelmed with medical patients at this time and it is recommended that you contact your dentist and/or United Concordia for assistance.

** Important information for dentists.** Learn more.

skip to main content

Fraud and Abuse

United Concordia takes a strong stand against fraudulent and abusive practices. Fraud and abuse can take many forms, including:

  • Submitting claims for services not rendered
  • Submitting claims for non-covered services disguised as covered benefit services
  • Using the identify of another individual to obtain dental benefits (identity theft)
  • Duplicate claim submissions
  • Misrepresentation by the dentist of his or her credentials
  • Concealment of information (by the dentist) regarding business practices which disqualify him or her as an authorized ADDP provider
  • Improper billing practices, including submitting claims for unnecessary dental services

You have the ability and opportunity to detect any fraud that may have occurred. The key is careful review of your Dental Explanation of Benefits (DEOB). Make sure that the information on the DEOB matches the services you received, by verifying the:

  • Date of service
  • Type of services rendered
  • Payment issued was for the actual services rendered

Reporting Fraud and Abuse

If you believe a dentist or entity has received insurance money through the submission of a false claim, you should report this information to the Special Investigations Unit (SIU). United Concordia provides several ways for enrollees to contact the SIU:

  • Use the Online Fraud Complaint Form, which can also be found in the Forms & Materials section.
  • To submit written correspondence, download the pdf file for printing and send to:

    United Concordia Companies, Inc.
    Special Investigations Unit
    4401 Deer Path Road, DP-4F
    Harrisburg, PA 17110
    Fax: 717-260-7204
  • Contact the toll-free "Fraud Hotline" at 1-877-968-7455.

The SIU maintains a 24-hour confidential voice mailbox for reporting suspected fraud.

United Concordia Fraud Success Stories

HOME | ADSM/AGR | CIVILIAN DENTISTS | GOVERNMENT/PROGRAM ADMINISTRATORS