Join our network

By partnering with us, you can become the provider of choice for the many members who trust Asuris to help them live healthier.

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Why be a participating provider?

  • Market-driven reimbursement: Asuris networks offer your practice competitive reimbursement based on the maximum allowable charge.
  • Claims simplification: Participating dentists are not required to submit radiographs and periodontal charting with claims, unless requested in certain cases.
  • A large and growing membership: We promote your practice to our growing membership through our online provider directory.
  • Convenient web-based tools: You'll have access to Regence member eligibility, benefits and claims history through Availty Essentials or MyDentalCoverage secure provider portals.
  • Free continuing education (CE) opportunities: You’ll have access to monthly webinars along with other CE resources offered through the Santa Fe Group. You can also register to attend our annual virtual medical-dental integration symposium. There are no fees to register, and CE credit is provided to both dentists and hygienists for these virtual CE programs.

Join our provider networks

It’s easy to become a participating dental provider. Please review the checklist below before completing and submitting your application.

Checklist: How to join Asuris dental provider networks

You can complete and submit your application. Here’s what you’ll need:

  • Work history for the past five years
  • Education
  • State dental license
  • Certificate of Malpractice Insurance (a certificate of professional liability), which specifies the limits of liability (copy of insurance invoice or binder is not acceptable)
  • Drug Enforcement Agency (if applicable)
  • Specialty board certificate (if applicable)
  • IRS 147C or 575A form
  • Meet our credentialing criteria for participation and termination

Ready to get started?

Please complete all sections of the online application form in its entirety. Approximate length of time to complete is 10-15 minutes. Applications submitted with incomplete information will delay the credentialing process.

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Application form

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Dental agreement

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Need to add a dental provider to your practice?

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We're here for you.

If you have any questions or would like more information about becoming a participating dental provider, please contact our dental provider relations team.

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