Nonparticipating Dentists

Dentists who have not signed a contract with United Concordia are considered nonparticipating dentists. Nonparticipating dentists may bill members their full fee. You will be responsible for paying the difference between United Concordia's allowance and the amount charged by the nonparticipating dentist, in addition to the applicable cost-share percentage. Furthermore, they may or may not submit claim forms on your behalf.

Nonparticipating dentists are not required to accept direct payment from United Concordia. To send payment directly to a nonparticipating dentist, you must sign an assignment of benefits statement on the claim form. This allows United Concordia to send payment to the nonparticipating dentist and to notify the member with a DEOB. If the assignment of benefits provision is not signed, United Concordia’s payment will be sent to the member, and he or she will be responsible for paying the dentist.

If your dentist is not currently part of the TRICARE Dental Program list of providers, use the Nominate Your Dentist tool to nominate them. United Concordia will contact them about becoming a participating dentist.