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United Concordia Dental Payer ID: Which One to Use

There is no single United Concordia dental payer ID. CX007 and CX013 are the commonly listed commercial ones, and the card decides which applies.

There is no single United Concordia dental payer ID, and that is the whole problem. The company administers several dental product lines, and each routes on its own identifier. Most clearinghouse directories list CX007 for the commercial fee for service plan and CX013 for Dental Plus, while federal and military dental programs carry their own. The product printed on the patient's card decides which one applies. Confirm the number in your own clearinghouse directory, searched by that plan name, before the next batch goes out.

Directories disagree, numbers get retired, and a payer ID copied from another office's list is a guess wearing a uniform. What follows is how to resolve the one in front of you.

One carrier name, several payer IDs

The logo on the card tells you whose name is on the plan. It does not tell you which entity adjudicates the claim, and routing follows the adjudicator.

What the card shows What commonly routes it Where to confirm it
Commercial fee for service dental CX007 on most clearinghouse directories Directory search by plan name, checked against the card
Dental Plus CX013 on most clearinghouse directories Same search, since the two products bill separately
A managed care or dental HMO product Its own identifier, frequently not the PPO number Provider portal or provider services line
Federal employee dental coverage A program specific identifier The plan brochure and the member card
A military dental program Program specific and separate from commercial The program's current provider materials
A plan administered for another organization The administrator's identifier, not the logo's The last paid remittance for that employer group

Two consequences. One patient's card and the next can carry the same brand and different routing, so a payer record built once for the carrier will be wrong eventually. And product lines change hands: federal and military dental programs run on contracts that get rebid, so confirm the current administrator and its identifier as of this writing rather than trusting a record set up three years ago.

What is payor ID 39026?

It is a five digit numeric identifier, and by itself that is nearly all anyone can honestly tell you about it. The identifiers this carrier publishes for dental are alphanumeric and carry a CX prefix. Five digit numerics are typically routing numbers assigned inside a clearinghouse network, so the same digits can resolve to one payer in your directory and another payer in the directory the office across town uses.

Resolve the number rather than adopting it.

  1. Search your clearinghouse directory by the number itself, not by the payer name. The entry that comes back names the payer and usually the line of business, which is the only authoritative answer for your claims.
  2. Compare that entry against the card, word for word. The card describes the patient's plan and the directory describes a routing lane. They have to agree before you save anything.
  3. Check whether the directory lists separate identifiers for claims, eligibility and remittance enrollment. A working claims ID says nothing about whether electronic remittance was ever set up.
  4. Write the date beside whatever you confirm. An undated note in a payer record looks like a fact six months later, when it has quietly become a rumor.

A payer table nobody owns is a standing source of rework, and it rarely shows up as its own line item. Our guide to auditing your dental practice revenue cycle covers how to find costs that hide inside ordinary resubmissions.

What is payer ID 11329?

Same shape of question, worth answering from the other direction: what a wrong payer ID looks like when it fails. The failure mode tells you which number to go fix.

What you see What it usually means What to do
The clearinghouse rejects the file before the payer sees it The ID is not in that clearinghouse's directory at all Look the plan up by name, correct the payer record, resubmit
A payer level rejection naming the subscriber The file routed, but the member or plan did not match Recheck the member ID and group number against the card
Accepted, then silence past thirty days It may have routed to the wrong entity within a corporate family Call provider services with the clearinghouse control number
Paid, but by an entity you did not intend to bill The plan is administered for another organization Reset the payer record to the administrator, not the brand
Claims pay, remittances never arrive electronically Enrollment for electronic remittance keys on its own identifier Complete remittance enrollment separately from claims routing

The last row catches practices that did everything else right. Claims routing and remittance enrollment are separate setups, and one being correct says nothing about the other.

What payer ID is 62324?

Before chasing any five digit number, settle whether you are looking at a dental claims identifier at all. Numeric IDs circulate across medical, dental, vision and state Medicaid lines, and a list posted for one line of business is useless for another. Three questions sort it quickly.

Is this dental or medical? A dental claim goes on the ADA Dental Claim Form with CDT codes to a dental intake. The same carrier name on the medical side takes a different form, ICD-10-CM diagnosis codes and a different identifier entirely. Where a procedure genuinely belongs on medical coverage, the whole submission path changes, which is the subject of our walkthrough on how to bill medical insurance for dental procedures.

Is this a commercial plan or a government program? Medicaid and CHIP dental benefits are frequently carved out to a contracted administrator with its own identifier, state by state. Confirm the current arrangement with your state Medicaid agency or state insurance department, not a national list.

Is this a claims identifier or something else? Eligibility, claim status, attachments and remittance enrollment can each key on their own number. Asking your clearinghouse which transaction an identifier serves takes one message.

How to submit a claim for United Concordia Dental?

The mechanics are ordinary. The discipline is in doing them once per plan rather than once per claim.

  1. Verify eligibility and benefits on the date of service. Capture the plan name, the group number, the product type and a reference number. Most routing surprises are really plan surprises: the patient is carrying a product you have not billed before.
  2. Set the payer record, not the claim. Payer ID, payer name spelled the way the directory spells it, claims address, attachment method, and a note on whether electronic remittance is enrolled. A wrong ID does not misroute one claim, it misroutes every claim for that plan until someone edits the record.
  3. Send electronically unless something specific prevents it. The payer identifier sits in the payer loop, and it is the only field your clearinghouse reads to decide where the file goes. The mailing address on an electronic claim is decoration.
  4. Attach at submission, not after the denial. Radiographs, perio charting and a narrative for anything that routinely gets reviewed. Correct routing does not rescue a claim that cannot survive review.
  5. Route predeterminations the same way, with box 1 of the ADA form marked as a request. They travel the same lane as claims and come back with their own shelf life, covered in how long a dental pre-determination is valid for and in how dental offices can automate pre-determinations. When treatment genuinely cannot wait, expediting a dental prior authorization is a separate process with its own documentation.
  6. Keep the acceptance report and work acknowledgments within two business days. It is your proof of the filing date. A screenshot of your own software proves when you clicked send, not when the payer received the file.

Paper, appeals and the Harrisburg boxes

United Concordia publishes post office box addresses in Harrisburg, Pennsylvania for dental correspondence, and the box differs by purpose. Claims, customer service, appeals and overpayment refunds are not one destination, and mail sent to the wrong box is not reliably forwarded.

Three rules cover it. Take the claims address from the back of the card, since that is the current instruction for that plan. Send appeals to the address on the determination letter, because that address is tied to your appeal rights and deadline, and an appeal mailed to the claims box usually processes as a duplicate claim. Send overpayment refunds to the address on the refund request letter.

Verify it once, then write it down

Four checks, about five minutes, and the plan is settled for good.

Photograph both sides of the card at check in. The claims address, the payer identifier where it is printed, and the provider service number all live on the back.

Search the clearinghouse directory by the plan name on the card, not from memory, and note whether claims, eligibility and remittance carry different entries.

Read the last paid remittance from that employer group, which names the entity that actually adjudicated. It is the strongest evidence you have about where the next claim goes.

Record it with a date and an owner. Practices that never think about payer IDs do not have better lists. They treat the payer table as something maintained rather than something inherited.

Curo keeps the routing and plan detail attached to each patient's verified benefits, so a claim is built against what was confirmed for that plan instead of a stale payer table entry. If rerouting and resubmission are a recurring cost in your office, our claims automation overview shows where those checks sit.

Store the acceptance report beside it. The payer ID gets a claim to the payer. The acceptance report is the only thing that proves it arrived on the day you said it did.

Frequently asked questions

What is the United Concordia dental payer ID?

It depends on the product on the card. Most clearinghouse directories list CX007 for the commercial fee for service dental plan and CX013 for Dental Plus, while managed care products, federal employee dental plans and military dental programs route under their own identifiers. Search your own clearinghouse directory by the plan name printed on the card, because directories differ and numbers get retired.

What is payer ID CX007?

CX007 is the identifier most clearinghouse directories carry for the United Concordia fee for service dental plan, which is the commercial product most general practices bill. The CX prefix marks it as a carrier style alphanumeric identifier rather than a clearinghouse assigned number. Confirm it in your own directory before you change a payer record, since the entry that governs your claim is the one your clearinghouse holds.

Do all United Concordia plans use the same payer ID?

No. A single carrier name can sit on a commercial PPO, a managed care product, a federal employee dental plan and a military dental program, and those route separately. Plans administered on behalf of another organization add a further split. Treat the product name and group number on the card as the thing you look up, and record the answer per plan rather than per carrier.

Where do paper United Concordia dental claims go?

To the dental claims box printed on the back of the patient's ID card. The company publishes post office box addresses in Harrisburg, Pennsylvania for dental correspondence, and the box differs by purpose, so claims, appeals and overpayment refunds do not all go to the same place. On an electronic claim the address is cosmetic and routes nothing at all.

Why was my claim rejected for an unknown payer ID?

Usually because the number in your payer record is not in that clearinghouse's directory, having been copied from another office's list, another clearinghouse or an old cheat sheet. The rejection comes from the clearinghouse before the payer ever sees the file. Look the plan up by name, correct the payer record once, then resubmit the claims that failed.

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