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Dental Claim Submission, Payments & EOBs - United Concordia
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Dental Claims, Payments, ERAs & EOBs

We make it easy to submit dental claims, get paid and see your EOBs

 

Finalized Predetermination Notifications **NEW""

United Concordia is transitioning to processing finalized predetermination notifications on a daily basis (Monday-Friday). As a result of this change, you may soon start receiving your paper predeterminations more quickly and will be able to begin treatment for the approved services even sooner.

Please note this change will not impact your existing ability to add a date of service to a predetermination and check claim status online.

Join the 62% of dental offices who are taking advantage of entering their dates of service for predeterminations on-line today. Simply follow one of the options below:

Option 1 from the Claims Tile

  1. Click on the new Add Date of Service to a Pre-Determination button located on the Claims tile
  2. Enter the Predetermination claim number
  3. Enter a Date of Service for all applicable lines
  4. Click Review & Submit
  5. Click Submit again after confirming the information entered is correct

Option 2 from the My Patients’ Benefits Tile

  1. Click on the My Patients’ Benefit tile
  2. Enter the specific patient information
  3. Click on Claims Status
  4. Locate the applicable predetermination
  5. Go to the Action button and click Add Date of Service to enter a Date of Service for all applicable lines
  6. Then click Review & Submit
  7. Click Submit again after confirming the information entered is correct

 

Dental Claims Submission

While all dental offices need to get claims into insurance carriers, not all dental offices do it the same way. That’s why we offer options for your practice to ensure claims submission is a smooth process.

 

Submitting Electronic Dental Claims

Imagine your dental office with less paper, and you getting paid more quickly. These are just some of the benefits of submitting dental insurance claims electronically. The first step is to get a National Provider Identifier (NPI) that will help ensure your patients’ information stays secure.

Then choose the best option for you:

  • Speed eClaim®—submit claims and see real-time updates with our free tool

 

Using Paper Claim Forms

If you still prefer to use paper claims, that’s fine too. Just complete the American Dental Association (ADA) claim form according to our claim form instructions and mail it in. Or, if you need to refer a patient to a specialist, complete a specialty referral form.

 

Things you should know about submitting claims

Some claims require x-rays. When submitting dental insurance claims, please keep in mind that some services require x-rays to be sent with the claim. A listing of services that require x-rays can be found on our Diagnostic Materials Requirement Chart within our PPO Dental Reference Guide.

More details are available in our frequently asked questions on claim submissions.

 

Payments & EOBs

Never worry about running to the bank with a paper check again. Set up a secure EFT and we’ll send your money right to your bank. That way, your staff can focus on your patients, not on depositing checks.

 

View your payments and EOBs

How much was that last payment I received? Where can I access an EOB? These questions can all be answered quickly in Payments & EOBs, which provides easy access to a list of your recent checks and EOBs.

 

Other useful tools

See how easy it is to submit claims electronically

Why you need a National Provider Identifier (NPI)

Get paid faster with EFT

Quickly view your payments and EOBs