United Concordia Customer Service Number — Expert Guide
Contents
- 1 United Concordia Customer Service Number — Expert Guide
- 1.1 Overview and why the customer service number matters
- 1.2 Main customer service number and practical calling details
- 1.3 What to expect during the call and typical resolution times
- 1.4 Key documents, numbers and checklist before you call
- 1.5 Escalation, appeals, and external resources
- 1.6 Provider-specific guidance and billing tips
Overview and why the customer service number matters
United Concordia Companies, Inc. (often shortened to United Concordia) is a major dental benefits administrator in the United States. For members and providers alike, a single reliable customer service channel is the fastest way to confirm eligibility, pre-authorizations, claim status, and billing details. The company maintains an official website at https://www.unitedconcordia.com where self-service tools are available, but complex matters — appeals, billing disputes, coordination of benefits, emergency approvals — usually require a phone conversation with a trained representative.
If you are calling for anything beyond routine preventive coverage questions, be prepared: the representative will ask for exact data (member ID, group number, date of birth, provider NPI or office tax ID, date of service). Having that information in front of you shortens call time and improves resolution rates. United Concordia’s corporate administrative address is United Concordia Companies, Inc., 1800 Center Street, Camp Hill, PA 17011 — useful for formal written appeals or certified mail if needed.
Main customer service number and practical calling details
The most direct, commonly listed toll-free customer service number for United Concordia members is 1-800-332-0366. This is the primary line used for member eligibility verification, benefits explanation, claims inquiries, and ID card requests. Typical phone hours published by payers in this sector are Monday–Friday, 8:00 a.m. to 8:00 p.m. Eastern Time; if you call outside those hours, use the secure member portal on unitedconcordia.com or your employer’s benefits administrator.
When you call 1-800-332-0366 have these items ready: the member ID shown on your card, your employer/group name, the date(s) of service, the treating dentist’s name and NPI (or Tax ID), and any claim or authorization numbers. For hearing-impaired callers use your local relay service (711) or the TTY number listed on your ID card. If English is not your first language, request interpreter services at the start of the call — most major carriers including United Concordia provide multi-language support on-demand.
What to expect during the call and typical resolution times
Customer service reps will validate identity, confirm coverage, and either provide immediate answers or create a case/ticket if further review is required. Common immediate outcomes include confirmation of eligibility, explanation of copayments or coinsurance, and pre-authorization confirmations. For documentation-heavy issues — missing itemized receipts, coordination of benefits with another insurer, or clinical reviews — expect a case number and a typical resolution window of 7–14 business days. Ask the representative for the case/ticket number and the direct escalation path.
Appeals and grievance handling follow a structured timeline: initial internal review usually takes 15–30 days for standard claims appeals and up to 45 days for more complex clinical appeals, depending on plan documents and state regulations. If a claim adjustment is approved, most plans process financial adjustments within 7–10 business days of decision; always request the expected date for posting to your account and a confirmation reference.
Key documents, numbers and checklist before you call
- Must-have items: Member ID, group number, provider name and NPI/Tax ID, date(s) of service, itemized receipt or claim number, and employer HR contact (if group plan).
- When discussing costs, note typical plan structures: many United Concordia plans have preventive covered at 100% (no charge), basic services at 20–50% coinsurance, and major services subject to 50% coinsurance and an annual maximum commonly between $1,000 and $2,000 — verify your specific plan limits on the portal or with the rep.
- If you intend to file an appeal, have the provider’s clinical notes or radiographs and the original claim form (ADA form) ready; appeals perform better when supported by dated clinical documentation.
Escalation, appeals, and external resources
If the frontline representative cannot resolve your issue, request escalation to a supervisor or the claims specialist desk and note the escalation number and name. For formal appeals, United Concordia’s procedures and mailing addresses are listed on your Explanation of Benefits (EOB) and on the member portal. You may be asked to submit appeals in writing; use tracked mail or the secure upload function in the member site to ensure receipt and date-stamping.
If internal appeals are exhausted and you believe the carrier has violated plan terms or state law, contact your state insurance department. The NAIC’s consumer information portal (https://content.naic.org) provides links to state regulators. Keep records: copies of the EOB, appeal letters, case numbers, dates and names of representatives, and any supporting clinical documents will significantly improve chances of external review.
Provider-specific guidance and billing tips
Dental offices and billing departments should confirm the provider services contact on the back of their EDI or provider welcome packet; provider support often has a separate routing than member services. For electronic claims, verify the current payer ID and clearinghouse mapping; resubmission protocols (corrected vs. replacement claim) and associated timelines should be followed to avoid duplicate denials. When calling on behalf of a patient, have an executed release of information or patient authorization available, and be prepared to verify identity per HIPAA rules.
Common denials that are resolved quickly via phone include missing pre-authorizations, mismatched patient identifiers, and duplicate claim flags. If a service requires pre-authorization (example: crowns, implants, orthodontics), ask the rep for the authorization number, the specific CPT/ADA codes covered, and the time window the authorization remains valid — many approvals are valid for 12 months from the authorization date.
How do I contact TRICARE customer service?
Call Us
- 888-TRIWEST (874-9378)
- 8 a.m. to 6 p.m. in your time zone, excluding federal holidays (CDT, MST, PST, Hawaii-Aleutian Standard Time and Alaska Time Zones)
How much does United Concordia pay for dental implants?
2024 Plan Benefits Summary
| 2025 Plan Year – Covered Dental Services | United Concordia Dental Pays2 | |
|---|---|---|
| High Option Plan | ||
| Dental Implant Services Annual Maximum (per covered person) | $2,500 | $2,500 |
| Lifetime Orthodontic Maximum (per covered person) | $3,000 | $3,000 |
| Dental Accident Lifetime Maximum (per covered person) | $2,000 | $2,000 |
Is United Concordia the same as Tricare dental?
The TDP, administered by United Concordia, provides worldwide dental care to eligible beneficiaries. The TDP is divided into two geographical service areas: CONUS and OCONUS.
How do I contact Tricare dental United Concordia?
Please call customer service at 1-800-332-0366.
Is Highmark the same as United Concordia?
Edward Shellard, DMD, is the chairman, CEO and president of United Concordia Dental, a subsidiary of Highmark Inc.
Does TRICARE cover Ozempic?
An AI Overview is not available for this searchCan’t generate an AI overview right now. Try again later.AI Overview Yes, TRICARE covers Ozempic (semaglutide) for the treatment of Type 2 diabetes with an approved prior authorization. However, Ozempic is not covered for off-label weight loss when prescribed for individuals without Type 2 diabetes. To confirm coverage and specific requirements, you should use the TRICARE Formulary Search tool or contact your provider.
How to Get Ozempic Covered for Type 2 Diabetes
- 1. Confirm the Diagnosis: Ensure your doctor is prescribing Ozempic for Type 2 diabetes, as it is not covered for other conditions.
- 2. Obtain a Prior Authorization: TRICARE requires an approved prior authorization for Ozempic to be covered.
- 3. Check Your Plan: Verify your specific TRICARE plan details to ensure it aligns with the coverage.
- 4. Use the Formulary Search Tool: Visit the TRICARE website to find the Formulary Search tool and review the detailed prior authorization requirements for Ozempic.
What to Know About Off-Label Use
- Not for Weight Loss Alone: . Opens in new tabIf you do not have Type 2 diabetes, TRICARE will not cover Ozempic for weight loss.
- Other Weight Loss Options: . Opens in new tabFor weight loss, TRICARE offers other options with approved prior authorizations for TRICARE Prime and Select beneficiaries, such as Wegovy and Zepbound.
AI responses may include mistakes. Learn moreWeight Loss Products | TRICARE3 days ago — Note: TRICARE will continue to cover select drugs (e.g., Ozempic, Mounjaro, Trulicity, Victoza) for all patients for the…TricareDoes TRICARE Cover Wegovy and Zepbound? Weight-Loss Coverage …If you’re a TRICARE beneficiary, getting your injectable weight-loss medication covered depends on the healthcare program’s criter…GoodRx(function(){
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