Dental

How to Get Credentialed with United Concordia in Vermont

Network: Open
45-90 Days CAQH Required

Quick Overview

Timeline

45 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Vermont-Specific Requirements

United Concordia: Concordia Advantage Plus PPO and DHMO networks. Apply via United Concordia provider portal (unitedconcordia.com). Uses CAQH ProView. Processing typically 30-60 days. TRICARE Active Duty Dental Program (ADDP) enrollment available in this state for military families. State licensing: Vermont Board of Dental Examiners issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA or ADEX clinical exam. Dental therapist licensure category available. Subsidiary of Highmark Inc. Administers the TRICARE Active Duty Dental Program (ADDP) nationwide for military families. Also offers commercial dental plans. TRICARE dental participation requires separate enrollment from commercial network.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Vermont.

2

Complete Your CAQH ProView Profile

United Concordia requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to United Concordia.

4

Track & Follow Up

Credentialing typically takes 45-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

Work history and education

DEA License

Conditional

Required if performing sedation or prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active dental license required

NPI Certificate

Active NPI number required

Enrollment Forms

United Concordia Provider Application

Provider application for United Concordia dental network including TRICARE dental program.

Required
Online Open →

Contact Information

United Concordia Credentialing

National

United Concordia General

National

Quick Links

United Concordia Website

Need Help?

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United Concordia in Other States

Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida

Other Payers in Vermont

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of Vermont Green Mountain Care TRICARE
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