Grievances/Quality of Care Concerns
United Concordia is committed to providing quality outcomes through our network of dental professionals. We have a Dental Oversight Committee comprised of experienced dentists that credentials network providers every three years and monitors quality issues. Actions to correct quality issues include educational letters to providers, review of their patient records, in office review of records and examination of patients by a dental director, and termination from the network. We employ benchmark utilization reviews to ensure network dentists provide industry-standard levels of treatment. Our team of dentist advisors perform pre and post payment clinical reviews. United Concordia has well established Grievance and Appeal programs to ensure patient satisfaction and address quality concerns. If you have a quality concern regarding procedures that have been performed by a United Concordia network dentist, please address them in the following manner:
- Either the active duty service member (ADSM) or the DTF should address the first incident regarding clinical quality with the treating dentist to provide an opportunity to rectify the concern. If preferred, the DTF can request that United Concordia contact the treating dentist for corrective action.
- If the treating dentist does not correct the issue after the initial request, the ADSM or DTF should contact United Concordia to address the concerns.
To file a grievance, submit the online Grievance Form to United Concordia. You may also print and mail or fax this form to United Concordia. The printed form can be faxed to 717-635-4560 or mailed to:
ADDP - Grievances
4401 Deer Path Road, DP-1E
Harrisburg, PA 17110-3907
For more information about the grievance process, consult the Quality of Care Concern Flow Chart.