Update your status
To ensure claims payments to our participating dentists are processed quickly and efficiently, we ask that you please help keep our online provider directory up to date by verifying that the information listed for your practice is accurate.
Also, the Consolidated Appropriations Act (2021) requires that provider directory information be reviewed and verified every 90 days.
Noncredentialled providers are asked to complete the new credentialing paperwork on the Join Our Network page.
If you are making changes to your practice location, EIN, or TIN, please provide a signed copy of your IRS Form 147c or CP575 letter along with the change form.
We’ll notify you in writing when your request is processed. Please allow 7-10 business days for processing.
Forms for credentialed providers
If you need assistance completing any of the forms below, please contact your dental network manager.