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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

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