skip to main content
TRICAREĀ® Dental Program
Dentists Government
United Concordia Website TRICARE Website
Return To home page
    • TRICARE Dental Program
    • What's Covered
    • TDP Training
    • Overview and Credentialing
    • National Provider Identifier
    • Fraud and Abuse
    • Dentists Applications and Agreements
    • Readiness Form
    • Reference Materials
    • Forms for Dentists and Patients
    • How to submit a claim
    • Submit a Claim
    • Update My Information
    • View My Patients' Benefits
    • Payments & EOBs
    • Schedule of Allowances
    • TOPD Online Services
    • About United Concordia
    • Claims Submission FAQs
    • Contact Information
Dentists Government

United Concordia is dedicated to helping our TDP enrollees throughout the country who have been impacted by a disasters. We realize you are wrestling with many issues and concerns in light of the current situation - your dental care shouldn’t be one of them. 

If your dental treatment has been impacted by a recent disaster, please contact United Concordia’s disaster line at 1-800-858-0051 to locate a dentist, coordinate benefits, and answer any questions regarding dental coverage. Please let us know you’ve been affected by the disasters when you call.

Stopping Insurance Fraud

United Concordia’s efforts to protect our customers and how you can help

Insurance fraud affects everybody. When fraudulent dental claims come in, more money is paid on those claims and this eventually affects insurance premiums. We strive to protect our customers by thoroughly investigating claims of insurance fraud and referring those who commit fraud to the appropriate law-enforcement agencies.


The actual cost of insurance fraud

The United States General Accounting Office reports that health care fraud adds at least 10 percent annually to the nation's health care costs. In an effort to curb fraud, we monitor all claim submissions received and rely on various tools to uncover questionable reporting, over-utilization and potential fraud schemes.


What happens if fraud is suspected?

Once United Concordia identifies an alleged fraud scheme, we collect reliable evidence to determine investigative merit. If warranted, the investigation is referred to the appropriate Federal or State law enforcement agencies for prosecution of the individual(s) involved. These agencies include the Federal Bureau of Investigation, the Defense Criminal Investigative Service, State Insurance Fraud Division(s) and the United States Attorney's Office. This team approach has been effective in deterring the rippling effect of insurance fraud.


How you can help stop insurance fraud

Members, sponsors, family members and dentists are in a good position to detect and report possible fraud. The dentist’s review of the claim form, prior to submission, and the member’s, sponsor’s or family member’s review of the dental explanation of benefits (DEOB) form, issued by United Concordia, help ensure information is accurate and truthful. Facts to confirm:

  • The type and number of services provided
  • The date(s) of service
  • The services reported were received
  • The patient's cost share or copayment amount owed was collected

How to report fraud

United Concordia treats all reports of suspected fraud confidentially.

Online
Click here for the Online Fraud Complaint Form

Telephone (toll-free)
United Concordia maintains a 24-hour, confidential voicemail box for reports of suspected fraud: 1-877-968-7455

Mail
Download the Fraud Complaint Form, print and complete it, then send to:

United Concordia Companies, Inc.
Special Investigations Unit
4401 Deer Path Road, DP-4F
Harrisburg, PA 17110
Fax: 717-260-7204

 
  • Webmaster
  • Contact Us Contact Us Contact Us
  • Request ID Card
  • Privacy Policy
  • Privacy Practices Privacy Practices Privacy Practices
  • Integrity Process Integrity Process Integrity Process
  • Site Map Site Map Site Map
 

 
 

Copyright © 2022 United Concordia Companies, Inc. All Rights Reserved.