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Manuals and Forms for Providers | Ambetter of North Carolina
Provider Resources
Coronavirus (COVID-19)
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2020 Provider and Billing Manual (PDF)
- 2021 Provider and Billing Manual (PDF)
- Provider Booklet (PDF)
- Payspan (PDF)
- Quick Reference Guide (PDF)
- Secure Portal (PDF)
- ICD-10 Information
- Taxonomy Reference Guide (PDF)
- Provider Orientation Presentation (PDF)
Quality Improvement/Risk Adjustment
Medical Management/ Behavioral Health
- Prior Authorization Guide (PDF)
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)
- Biopharmacy Outpatient Prior Authorization Fax Form (PDF)
- Prior Authorization Request Form for Non-Specialty Drugs (PDF)
- Clinical Policy: Brand Name Override and Non-Formulary Medications (PDF)