Do you need health insurance? Call us at 1-833-709-4735 (Relay 711). Learn More.
Manuals & Forms for Providers | Ambetter of Tennessee
Provider Resources
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2020 Provider & Billing Manual (PDF)
- Quick Reference Guide (PDF)
- ICD-10 Information
- Payspan (PDF)
- Secure Portal (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)
Claims and Claims Payment
