Provider Resources

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

Reference Materials

• 2018 Provider and Billing Manual
• Quick Reference Guide
• ICD-10 Information
• Payspan
• Secure Portal

Medical Management

• Pre-Auth Needed?
• Prior Authorization Guide
• Authorization and Coverage Complaints
• Electroconvulsive Therapy Authorization Form 
• Inpatient Prior Authorization Fax Form
• Intensive Outpatient/Day Treatment Authorization Form
• Outpatient Prior Authorization Fax Form
• Outpatient Treatment Request Form
• Psychological or Neuropsych Testing Authorization Form
• Provider Fax Back Form

Claims and Claims Payment

• Claim Dispute Form

Quality

• Quality Improvement (QI)
• Clinical Practice Guidelines

Other

• Creating a Cenpatico Secure Portal Account
• Ambetter Payment Policy Manual