United Concordia takes a strong stand against
fraudulent and abusive practices. Fraud and abuse
can take many forms, including:
- Submitting claims for
services not rendered
- Submitting claims for
non-covered services disguised as covered
benefit services
- Identity thefts submitting
claims for a non-eligible individual as
a covered beneficiary
- Duplicate claim submissions
- Misrepresentation by the dentist
of his or her credentials
- Concealment of information
(by the dentist) regarding business practices
which disqualify him or her as an authorized TDP
provider
- Improper billing practices,
including submitting claims for unnecessary
dental services
- Routine waiver of member
cost-share
If you believe a dentist or entity has received insurance
money through the submission of a false claim, you should
report this information to the Special Investigations
Unit (SIU). United Concordia provides several
ways for enrollees to contact the SIU:
- Use the
Online Fraud Complaint Form submission form, which can
also be found in the
Forms/Materials section.
- To submit written correspondence,
download the
pdf file for printing and send to:
United Concordia Companies, Inc.
Special Investigations Unit
4401 Deer Path Road, DP-4F
Harrisburg, PA 17110
Fax: 717-260-7204
- Contact the toll-free "Fraud
Hotline" at 1-877-968-7455.
The SIU maintains a 24-hour confidential voice mailbox
for reporting suspected fraud.
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