Ambetter provides the tools and support you need to deliver the best quality of care.

Reference Materials

• 2019 Provider and Billing Manual (PDF)
• 2020 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 (Video)

Medical Management/ Behavioral Health

• Prior Authorization Guide (PDF)
• Inpatient Prior Authorization Fax Form (PDF)
• Outpatient Prior Authorization Fax Form (PDF)
• Prior Authorization Request Form for Non-Specialty Drugs (PDF)

Claims and Claims Payment

• Claim Dispute Form (PDF)