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PPO Network Credentialing

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:

  1. Demonstrate a Utilization Review Pattern acceptable to United Concordia.
  2. Complete a signed Participating Dentist Agreement with United Concordia Companies, Inc.
  3. Hold an active, valid license to practice dentistry in the state(s) in which he/she practices.
  4. Hold current professional liability insurance.
  5. Have no current sanction, termination or other peer review action by a professional review body; state dental board or Health and Human Service.
  6. Hold an active unrestricted federal Drug Enforcement Agency (DEA) certificate, if applicable.

Point of Contact
For questions pertaining to United Concordia Companies Inc. (UCCI) contact the Credentialing Department, via our online form.


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