Understanding the iDental Claims Process

 

You have enough things to worry to about. Filing dental claims shouldn’t be one of them. That’s why iDental plans take the uncertainty  (and a lot of paperwork) out of dental insurance, especially if you visit an Advantage Plus network dentist.

Review the information below about  the iDental claims process. If you have any questions, give us a call toll-free at 1-866-568-6099, Monday through Friday from 8 a.m. to 8 p.m. ET.

 

How much can a dentist charge you?

iDental network dentists accept a negotiated amount as payment in full for covered services. Network dentists can still charge you for deductibles and copays, but they can’t bill you for the difference between their standard charges and our negotiated fees. Non-network dentists can bill you for this difference. Delaware residents: please visit this page

 

Do you have to file a claim for each dental visit?

No. This is one of the great perks of iDental membership. If you receive care from an Advantage Plus network dentist you can forget about claim forms—your dentist files all the paperwork! Seeing a non-network dentist? You may have to complete and submit your own claim forms. Download claim forms here

 

Is it easy to check an iDental claim status?

Couldn’t be simpler. Just sign in to My Dental Benefits. Select the member’s name, then click Claim Information. This presents the Claim Summary screen. From here, you can check claims by specific date or date-span. Select the EOB (Explanation of Benefits) link to view and/or print an electronic EOB.

 

Can I access claims through a mobile app?

Yes. Our United Concordia Dental Mobile App is available free for iPhone®, iPad® and Android® devices. Just sign in to your account through the app to access your claims on the go.

 

Where to go for iDental claims questions

Give us a call toll-free at 1-866-568-6099 Monday through Friday from 8 a.m. to 8 p.m. ET. and one of our representatives will be happy to help.

 

Why you can’t get your child’s or spouse’s claim information

Due to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), United Concordia is only permitted to share information regarding your own claims and any dependents under the age of 18. This includes spouses.  

We take our members’ privacy seriously. With your dependent or spouse’s written permission, we can release information to specified individuals over the phone. Without this permission, dependents age 18 and older will need to call us toll-free at 1-866-568-6099, Monday through Friday from 8 a.m. to 8 p.m. ET. to get their own information from customer service. 

Visit the Patient Privacy Information Center to download a HIPAA Privacy Authorization Form. Ask your dependent or spouse to submit this form to us for the release of information.

Looking for affordable dental coverage? Compare our dental plans now.

 

Other resources

How iDental billing works

How to enroll in an iDental plan

Download the United Concordia Dental Mobile App