Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with United Concordia TRICARE Dental Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
United Concordia TRICARE Dental Program fax number
(717) 635-4565
Claims Submissions (TRICARE Dental Program)
Used for: TRICARE Dental Program CONUS claim submissions; submission of CONUS member claim forms
Fax destination details
- Department
- Claims Submissions (TRICARE Dental Program)
- Purpose
- TRICARE Dental Program CONUS claim submissions; submission of CONUS member claim forms
- Form
- Form 5730 — General TRICARE Dental Program CONUS Member Claim Form
- Address
- CONUS Claims Submissions: P.O. Box 69451, Harrisburg, PA 17106-9429
- Voice phone
- 844-653-4060; 717-888-7400
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete sponsor and patient details, service/procedure information, and signed attestations as required by the form; submit via fax to the CONUS fax number 717-635-4565
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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