Filing Claims Overseas

Many civilian overseas dental offices require their patients to pay for all dental services at the time they are rendered (see * below for exception). They also may require you to personally submit your claims to United Concordia for reimbursement of your out-of-pocket expenses (not including cost-shares). Your dental claims must be completed and submitted to United Concordia as soon as possible following the date of service, preferably within 60 days.

Any claim filed more than 12 months after the month in which the service was completed will be denied. To ensure your claim is properly processed and avoid any possible payment delay, these three items must be submitted to United Concordia:

1. TDP OCONUS Claim Form
   The form can be obtained from your TRICARE Area Office (TAO), overseas dental treatment facility (ODTF), from any designated OCONUS Point of Contact (POC), or by calling United Concordia's OCONUS Customer Service Unit. It is also available in the Forms/Materials section of this Web site.
   
   Or, download a TDP OCONUS Claim Form.
2. Dentist's Bill or Statement of Charges
   If the specific service(s) provided are repeated on the claim form, a separate office bill is not needed.
3. Non-Availability Referral Form (NARF)
   A Non-Availability Referral Form (NARF) is required for orthodontic and implant services and a dentist on the Host Nation Provider Directory must be used or the claim will be denied. One exception is Canada, where members may receive care from any dentist; however, a NARF is still required prior to obtaining treatment for orthodontic or implant services.

You will be reimbursed in U.S. dollars unless you request payment in local currency. If you submit the claim and assign payment directly to the dentist, the claim will be paid to the dentist in foreign currency.

*TRICARE OCONUS Preferred Dentists (TOPDs) will only require you to pay any applicable cost-shares at the time dental services are rendered. If you receive dental care from a TOPD, your claim does not need to be submitted by the OCONUS POC. The TOPD will submit your claims directly to and accept payment directly from United Concordia. Please refer to Non Remote OCONUS Locations for details.

OCONUS Point of Contact (POC) Program
For assistance or questions about the OCONUS dental program or for help with submitting OCONUS claims, contact your TRICARE Area Office (TAO) or overseas dental treatment facility (ODTF) and speak to a designated OCONUS POC. An OCONUS POC can assist you in receiving timely reimbursement for OCONUS dental claims.

The OCONUS POC will review the claim to ensure that it contains all of the information needed for processing and can submit claims and monitor claim status by fax or e-mail.

The OCONUS POC can also submit the dental claim. If a claim is submitted by the POC, he or she will receive the reimbursement and/or Dental Explanation of Benefits (DEOB) and will be responsible for distributing them to the enrollee or dentist.