TRICARE Active Duty Dental Program (ADDP) for Remote Care. Effective 1 August 2009 Contact ASC Surgeon’s Office with questions at 782-2702 or 782-0288. Dental Contractor Change. The Military Medical Support Office (MMSO) will cease all dental operations effective 31 July 2009.
Effective 1 August 2009
Contact ASC Surgeon’s Office with questions at 782-2702 or 782-0288
in the Quad City Area - look online or call United Concordia (UCCI) at 1-866-984-2337 for participating dentists
Obtain Appointment Control Number (ACN) by filling out Appointment Request Form online at https://secure.addp-ucci.com/ddpddw/adsm/appointment-request.xhtmlor call 1-866-984-2337
ACN sent to patient within 3 business days of request with a list of dentists including any requested dentist
Make your own appointment or have UCCI make appointment. Keep routine
dental appointments (exams, cleanings, routine fillings)
Is the treatment implants or ortho- dontics?
Is additional treatment needed?
Is the treatment specialty care or
$1500 total within 12 months?
Dentist completes DD2813 and provides to the soldier
Soldier receives non-specialty dental care
Surgeon’s Office (782- 2702/0288) to prepare Command Memo
Dentist submits for payment/receives payment from UCCI
Soldier takes Command Memo to HHC Commander
Soldier takes/sends memo to dentist for submittal to UCCI
Soldier brings DD2813 to ASC Surgeon’s Office (782-2702/0288) to update MEDPROS dental status
Dentist completes Authorization Request Form and submits to UCCI
Approval sent to dentist and patient within 3-5 business days
Soldier receives specialty dental care
UCCI Makes Appointment
Make Your Own Appointment
If you’d like to make an appointment immediately, call United Concordia at 1-866-984-ADDP (2337) upon form submission.
To receive authorization for specialty dental care: