Manage Provider Info

Manage your provider information through the forms below and send them to DentalProviderRelations@Centene.com upon completion.

Provider Update Form

  • Add a new provider
  • Add a new location
  • Updae current location
  • Terminate a provider
  • Terminate a location

Update Provider Data Request

  • Add/remove an existing provider to an existing location
  • Add/update a location

Electronic Funds Transfer (EFT) Agreement

Get paid faster with the EFT payment program. Use the form above or log onto the provider portal to complete the request online.