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Centene (Behavioral Health)

Part of Centene Corporation

Medicaid managed caredentalmedical
Typical enrollment turnaround
60-90 days

Summary

Centene (Behavioral Health) is a Medicaid managed care organization, part of Centene Corporation, offering dental and medical coverage operating in Texas. Claims route under payer ID 68068, with 32 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Superior Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
68068Also seen as 10567, 10569, 10571, 10572, 10573, 10631 and 26 more
Also known as
Absolute Total Care, Ambetter, Ambetter from Home State Health, Celtic Insurance Company, Cenpatico Behavioral Health
Uses CAQH
YesApplication route: Payer portal application
Service area
TX

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Centene (Behavioral Health)?
The payer ID for Centene (Behavioral Health) is 68068. Alternate IDs seen across clearinghouses include 10567, 10569, 10571, 10572.
How long does Centene (Behavioral Health) provider enrollment take?
Centene (Behavioral Health) provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Centene (Behavioral Health) require CAQH?
Yes. Centene (Behavioral Health) uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Centene (Behavioral Health) require ERA enrollment?
Yes. Centene (Behavioral Health) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Centene (Behavioral Health) cover?
Centene (Behavioral Health) operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.