EDI Sign-Up
After reviewing the information below, please
click on the appropriate link. To find out more
about Electronic Data Interchange, please read
The
Benefits of Electronic Data Interchange page.
*Providers PLEASE NOTE: You
must select the link for California or the link for
outside California, depending on your location, to
access the online forms for the required applications.
Clearinghouse/Practice Management
Software Vendor
To request authorization to send EDI transactions (Claims
and Inquiries, ASC X12 transactions: 837, 835, 276/277,
270/271) to United Concordia or to update your existing
Trading Partner record, click the links below. Print and
complete the forms and fax to Dental Electronic Services
at 1-717-260-7131.
Provider PLEASE NOTE: Your Practice Management Software
must have the ability to directly communicate with
United Concordia.
To request authorization to send EDI Transactions (Claims
and Inquiries, ASC X12 transactions: 837, 835, 276/277,
270/271) directly to United Concordia or to update your
existing Trading Partner record, click on the appropriate
link below. Print and complete the forms and fax to Dental
Electronic Services at 1-717-260-7131.
