Ambetter provides the tools and support you need to deliver the best quality of care.
- Pre-Auth Needed?
- Prior Authorization Guide
- Inpatient Prior Authorization Fax Form
- Outpatient Prior Authorization Fax Form
- Authorization and Coverage Complaints
- Discharge Consultation Form
- OTR Completion Tip Sheet
- Psychological or Neuropsych Testing Authorization Request Form
- Electroconvulsive Therapy (ECT) Authorization Request Form
- Intensive Outpatient/Day Treatment Form for Mental Health/Chemical Dependency
- Outpatient Treatment Request Form
Claims and Claim Payment