** 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*

* 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.

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NATIONAL PROVIDER IDENTIFER (NPI)

Simplifying administration and protecting patients' privacy

Get an NPI to submit electronic claims

A National Provider Identifier (NPI) is a unique, 10-digit number provided by the National Plan and Provider Enumeration System (NPPES) assigned to providers to simplify health care administration. NPIs must be included when submitting claims electronically, which ensures secure transactions and is in compliance with HIPAA regulations. In addition, individual states may require use of the NPI for paper claims.

To minimize potential claim processing errors and delays in payment, United Concordia encourages all dentists to obtain NPIs.

There are three basic types of NPIs available:

  • Individual (entity type 1)
    Includes sole proprietors providing health care services. An application for an Entity Type 1 NPI is completed using the individual dentist's social security number. Only one NPI will be allowed for an individual dentist.
  • Organizations (entity type 2)
    Includes group practices, professional corporations, clinics and incorporated individuals. Application for an Entity Type 2 NPI is completed using the organization's Employer Identification Number. A dental practice that is incorporated is considered an Entity Type 2, even if it employs only one dentist.
  • Subpart
    Subpart NPIs are given to components of organizations, such as affiliated sites that operate independently from the "parent organization", conduct their own HIPAA standard transactions, are certified by the State separately from the "parent" organization and must be uniquely identified in HIPAA standard transactions.
Three simple and free ways to apply for your NPI:
  1. Follow the online process at www.nppes.cms.hhs.gov
  2. Download the paper application from our website at www.UnitedConcordia.com
  3. Contact the NPI enumerator at:
    (800) 465-3203 or customerservice@npienumerator.com

Submit your NPI to United Concordia Dental

As soon as you receive your NPI, please submit it along with your entity type (1 or 2), National Plan and Provider Enumeration System (NPPES) confirmation, your address and United Concordia Provider Number to our Provider Data Management Department.

Submit online when you Update Your Profile with your NPI Or Complete the NPI Submission Form and:


Fax to: (888) 667-9679
or
Mail to:
United Concordia Dental Companies, Inc.
Network Operations
P.O. Box 69404
Harrisburg, PA 17106-9404

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