United Concordia values your business and strives to provide outstanding and timely customer service.
If an EXACT match of the submitted data isn't found in our system, it's possible this request may not be processed.
To help ensure the request is in effect for the regularly scheduled Thursday payment cycle (exceptions can be (ex: holidays), please submit requests by noon Wednesday (ET)).
Your information will not be submitted if you exit the application now.
Use the following values depending on your relationship to United Concordia: