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Claim Information

You may submit your dental claim electronically or use a paper form to receive payment for services.

  • One claim form should be used for each patient
  • The claim should reflect only one treating dentist for services rendered
  • All claims must have the necessary fields populated and the proper documentation must be included to adjudicate the claim within 30 days of receipt

Electronic claims
You are encouraged to directly submit your claims and pre-treatment estimates online through the provider portal or through a clearinghouse. This may expedite the claim adjudication process and could improve overall claim payment turnaround time.

Participating network providers should sign in to UHCdental.com to submit claims electronically.

You may still submit online claims if you are not a network participating provider.

Paper claims

It is recommended that you use an American Dental Association (ADA) Dental Claim Form to submit a paper claim.

  • All paper claims must be legible
  • Computer-generated forms are preferred
  • Additional documentation and radiographs should be attached when applicable

Use the following address information to ensure completed paper claims are routed to the correct resource for payment:

Claims and pre-treatment/pre-authorization submission addresses

PTE/Prior Authorizations (Except Solstice Benefits)
Dental Benefit Providers
P.O. Box 30552
Salt Lake City, UT 84130-0552

UnitedHealthcare Dental
Claims Unit
P.O. Box 30567
Salt Lake City, UT 84130-0567

HealthNet (CA, OR, AZ)
P. O. Box 30567
Salt Lake City, UT 84130-0567

Solstice Benefits
P.O. Box 19199
Plantation, FL 33318

UMR
P.O. 30541
Salt Lake City, UT 84130-0541

Questions?

Looking for claim information or want to submit an online claim for a Medicaid member?