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United Concordia TRICARE Dental Program fax number
(717) 635-4565
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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.
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