Time to get a provider added to a location. We will make this easy for you.
Step 1) Beginning July 1, 2021, the Dental Cooperative will be exclusively using CAQH as the platform for collecting and verifying Provider credentials as part of the Insurance Fee Maximization process. CAQH is FREE for Providers to create and manage their credentials, reduces repetitive paperwork, and keeps all the information in one place to share with Carriers. Click here to create a CAQH account. For those already using CAQH, please verify the Provider is current and attested before you submit an action below to ensure faster submission.
Step 2) Complete the information below to submit the Add Location request form and we will get to work. If you are adding multiple providers, you will need to submit this same form for each provider. You can add as many location as needed to this form. Let’s get started!
Having issues submitting the online form? Please contact your local Area Director: