Centene (Medical)
Part of Centene Corporation
Summary
Centene (Medical) is a Medicaid managed care organization, part of Centene Corporation, offering dental, medical, and vision coverage operating in Florida. Claims route under payer ID 68069, with 140 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Sunshine Health 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
68069Also seen as 10451, 10466, 10560, 10561, 10562, 10564 and 134 more- Also known as
- Absolute Total Care, Ambetter, Ambetter from Buckeye Community Health Plan, Ambetter from CeltiCare Health, Ambetter from Coordinated Care
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- FL
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Centene (Medical)?
- The payer ID for Centene (Medical) is 68069. Alternate IDs seen across clearinghouses include 10451, 10466, 10560, 10561.
- How long does Centene (Medical) provider enrollment take?
- Centene (Medical) 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 (Medical) require CAQH?
- Yes. Centene (Medical) uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Centene (Medical) require ERA enrollment?
- Yes. Centene (Medical) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Centene (Medical) cover?
- Centene (Medical) operates in FL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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.