United Concordia is pleased to offer you various
automated resources to help you find the
information you need, when you need it. As such,
we have two departments that feature automated
services to help you:
Dental
Electronic Services
Customer
Service
Xpress Claim
Interactive Voice
Response (IVR) System
My Patients' Benefits
Electronic Data Interchange (EDI)
Our Internet Based
Applications:
Xpress Claim - Xpress Claim gives
you the ability to submit requests for payment,
predeterminations and encounters via the Internet
and receive the results of the adjudication immediately.
Visit the Xpress Claim section to register.
My Patients' Benefits - My
Patients' Benefits allows dental offices to
check eligibility, benefits, claims status,
procedure code information, maximum/deductible
accumulations, allowance information and service
history all from the comfort of your office
chair via the Internet. Available 24 hours
a day, 7 days a week*, My Patients'
enefits is designed to fit your schedule.
Visit the My Patients' Benefits section
to register.
Our EDI Applications:
Electronic Data Interchange (EDI) -
In order to avoid the delays and hassles caused by
filing paper claim forms and the need to contact
our Customer Service departments, we have implemented
the ability for you to send your claims, eligibility
and claim status requests to us electronically. These
functions can be performed directly with us if your
practice management software allows for a direct
connection to United Concordia. Visit our Electronic
Data Interchange (EDI) section to register
for a direct connection with us.
If you want to send your claims and inquiries
through your clearinghouse, call Dental
Electronic Services at (800)
633-5430.
United Concordia is a corporate member of National
Dental EDI Council, a non-profit organization
promoting electronic commerce in the dental benefits
industry. NDEDIC offers educational opportunities,
collects and provides information, and creates and
promotes forums for dental EDI.
Customer Service:
Our Customer Service Department oversees our
automated telephone response system, otherwise
known as the Interactive Voice Response System
or IVR.
Interactive Voice Response (IVR)
System - United Concordia's
IVR system provides dentists with 24/7*
access to current patient benefit information
stored in United Concordia's databases via
the telephone. You can choose to listen to the
information while still on the telephone or request
that the information is sent by fax or mail. You
can request information on eligibility, claim status,
pre-determinations, orthodontia, procedure
history, maximum/deductible accumulations, co-payment
listing and fee schedules. You also have access to
services such as coinsurance/cost-share
information and procedure allowance.
Access the IVR system by calling our main Customer
Service number at (800)
332-0366.
(Please note: OCONUS dentists do not have
access to this system.)