Providers

Welcome to Cenpatico’s Provider Page. To process claims and verify  eligibility online, log on or register to use our Provider Portal by clicking the icons to the right. To view or download other resources, please see the navigation bar to the left.

  • Batch Claims and Adjustments are Here! Cenpatico is deploying the first of several upgrades to our Secure Provider Portal functionality on Sept. 23, 2011. The tools you know are still there but we’re simplifying in an effort to make them better for you. All participating Cenpatico providers will now be able to submit Batch Claims via the web as well as make Claims Adjustments. There is a newly updated Secure Provider Portal User Manual that will assist you in navigating these changes. It is located under the Resources tab.
  • Attention Providers! Effective February 1, 2011, Cenpatico, in association with InterQual, will begin enforcing new Medical Necessity Criteria for Behavioral Health. To see answers to Frequently Asked Questions (FAQ) regarding the change, please click here.
  • Cenpatico is Contracting in Illinois: Cenpatico is currently recruiting providers in the following counties: Cook (areas with zip codes that do not begin with 606), DuPage, Kane, Kankakee, Lake and Will. Please click here to learn how to join our Illinois Provider Network.
  • Click Here to view Cenpatico’s 2011 Cultural Competency Plan.*Providers, if you would like to request a paper copy of the 2010 Cultural Competency Plan, please contact the Cenpatico Quality Department at 512-406-7225.
  • Click here to view the 2010 Quality Improvement (QI) program evaluation.

 
Providers