** Notice for ADDP Members Impacted by Natural Disasters **

United Concordia is dedicated to helping ADDP members impacted by natural disasters. We realize you are wrestling with many issues and concerns in light of this tragedy - your dental care shouldn't be one of them.

If you have been displaced as a result of a natural disaster and your ADDP benefits and/or access to care have been affected, please contact us at 1-866-984-2337. We are committed to helping our enrollees affected by tragedy. Please do not hesitate to contact us so we can be of assistance.

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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

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