United Concordia's credentialing process is
intended to ensure that enrollees who select a
participating dentist anywhere in the country can
be confident that the dentist has met minimal,
uniform requirements.
The process involves a screening of dentists applying
for participation (selection) and a regular
evaluation of those already a part of our networks
(retention). The decision to accept or
retain a dentist is based on all available information.
To be eligible to participate in United Concordia's
fee-for-service networks a dentist must:
Demonstrate a Utilization Review
Pattern acceptable to United Concordia.
Complete a signed Participating
Dentist Agreement with United Concordia Companies, Inc.
Hold an active, valid license
to practice dentistry in the state(s) in
which he/she practices.
Hold current professional
liability insurance.
Have no current sanction,
termination or other peer review action by
a professional review body; state dental
board or Health and Human Service.
Hold an active unrestricted
federal Drug Enforcement Agency (DEA)
certificate, if applicable.
