PPO MAC Schedule Update

As part of our overall commitment to servicing network dentists, United Concordia has finalized the annual update to our PPO Maximum Allowable Charge (MAC) schedules for the National Fee-for-Service network. The changes are effective for services rendered on or after February 1, 2010, for all accounts administered using this network.

To determine reimbursements by procedure for a specific patient, log in to My Patients' Benefits. Once you have entered the required patient-specific information, select the Allowance/Copay tab. Next, enter a procedure code and charge amount in the appropriate fields and click Retrieve.

If you are a United Concordia participating provider, the comprehensive schedule utilized by this patient will also be available after completing the steps above. The message "Click here to view the entire Maximum Allowable Charge Schedule" will appear. You must have Adobe Acrobat Reader version 6.0 or higher to download the schedule.

Should you have any questions regarding downloading the schedules or using My Patients' Benefits, please contact our Dental Electronic Services department at (800) 633-5430, Monday through Friday, 8:00 a.m. to 5:00 p.m. ET.


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