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Forms & Claims

Find the form you need or information about filing a claim.

Dental Claims

Active Duty Dental Program

United Concordia's network dentists will file claims for you. But, if you're authorized to visit a non-network dentist, you may have to submit your own claims.

Send the Claim Form and supporting documentation to:

United Concordia
Claims Processing
P.O. Box 69429
Harrisburg, PA 17106-9429

TRICARE Dental Program

  • Participating dentists will usually file claims for you
  • If you need to submit a dental claim, mail or fax the claim form and supporting documents to MetLife 
  • Forms and address are based on where care is received: CONUS Service AreaClick to closeUnited States, District of Columbia, Guam, Puerto Rico and the U.S. Virgin Islands or OCONUS Service AreaClick to closeAreas outside of the United States, District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands.
CONUS Service Area OCONUS Service Area 

Mail or fax claim form to United Concordia:

United Concordia

TRICARE Dental Program

P.O. Box 69451

Harrisburg, PA 17106

Fax: 717-635-4565

Mail or fax claim form to United Concordia:

United Concordia

TRICARE Dental Program

P.O. Box 69452

Harrisburg, PA 17106

Fax: 844-827-9926 (toll-free)

717-635-4520 (toll)

Send TRICARE Dental Program Claims Prior to May 1st, 2017 to: 

Metlife Claims, P.O. Box 14181, Lexington, KY 40512

TRICARE Retiree Dental Program

Your dentist will file your claims for you in most cases. If you need to file a claim with Delta Dental:
United States Overseas
Deltal Dental of California
P.O. Box 537007
Sacramento, CA 95853-7007
Delta Dental of California,
P.O. Box 537006
Sacramento, CA 95853-7006
United States of America

Track your claims activity online through Delta Dental's Consumer Toolkit.® Use your benefits booklet to help you complete your claim.

Last Updated 6/5/2018