Dental claims source scope
Dental claim-processing reference. Identify the commercial or government dental product and the applicable provider agreement before using direct data entry.
Check the dental claims and pretreatment source · Partial source comparison 2026-09-26; not whole-record approval.
Other historical registry details below are not certified by this source-scoped comparison. Confirm the issuing company, applicable product and current instructions.
United Concordia at a glance
| Legal name | United Concordia Dental |
|---|---|
| Also known as | United Concordia Companies, UCCI |
| Category | Commercial |
| Parent organization | Highmark Inc. |
| Dental claims (source-scoped) | Dental claim-processing reference. Identify the commercial or government dental product and the applicable provider agreement before using direct data entry. |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for United Concordia. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Provider resource entry point | https://www.unitedconcordia.com |
| Provider phone | 1-800-972-4191 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for United Concordia
This registry lists 365 days as an initial-claim reference for United Concordia. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 365 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for United Concordia. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: United Concordia provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Dental pretreatment estimates with United Concordia
Confirm the specific benefit, member product, responsible plan and applicable pretreatment or authorization instructions. This reference does not establish a universal medical authorization clock.
Dental pretreatment and appeal source
Dental claim-processing reference. Identify the commercial or government dental product and the applicable provider agreement before using direct data entry. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Dental claim submission and pretreatment estimates do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
Top denial reasons for United Concordia
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient United Concordia volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| Dental claims (source-scoped) | Listed in registry; verify current scope | Dental claim-processing reference. Identify the commercial or government dental product and the applicable provider agreement before using direct data entry. |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for United Concordia. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
record_scope
Source comparison: 2026-09-26
United Concordia operates dental claim processing and administrator/provider direct data entry under a specific provider agreement.
Primary source for record_scopeelectronic_claims_supported
Source comparison: 2026-09-26
The actual provider agreement supports electronic claims/billing direct data entry. It does not establish every X12 transaction or payer ID.
Primary source for electronic_claims_supported
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; portal_url / provider_phone: Current marketing/help routes returned a JavaScript-only shell or redirect loop; no new portal destination or baseline 800-972-4191 verification is proposed.; timely_filing_days / payer_ids / supports_279_271 / supports_278: The electronic-access agreement is not a payer-specific 365-day filing policy or transaction companion guide..
Sources used for this guide
Evaluate QuickIntell workflow fit for United Concordia
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for United Concordia; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for United Concordia; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for United Concordia before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about United Concordia
Where is the United Concordia provider portal?
Use https://www.unitedconcordia.com as a starting point for United Concordia provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for United Concordia?
This registry lists 365 days as an initial-claim reference for United Concordia. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
Does United Concordia publish a single claims payer ID?
This registry has not established one all-product claims payer ID for United Concordia. See the source findings for transaction-specific references. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does United Concordia accept electronic claims?
Dental claim-processing reference. Identify the commercial or government dental product and the applicable provider agreement before using direct data entry. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Dental claim submission and pretreatment estimates do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
How do I appeal a United Concordia denial?
This registry has not established a payer-specific appeal ladder for United Concordia. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Is a dental pretreatment estimate from United Concordia a prior authorization?
Confirm the specific benefit, member product, responsible plan and applicable pretreatment or authorization instructions. This reference does not establish a universal medical authorization clock.
What is the United Concordia provider phone number?
This registry lists 1-800-972-4191 as a contact reference for United Concordia. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around United Concordia requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against United Concordia's current published documents before submission. CPT® is a registered trademark of the American Medical Association.