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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
- 2023 Provider and Billing Manual (PDF)
- 2022 Provider and Billing Manual (PDF)
- 2021 Provider and Billing Manual (PDF)
- Quick Reference Guide (PDF)
- ICD-10 Information
- Payspan (PDF)
- Secure Portal (PDF)
- 2022 Network Overview (PDF)
- 2022 Provider Orientation (PDF)
Quality Improvement/Risk Adjustment
- HEDIS® MY 2021 (PDF)
- 2021 QUALITY RATING SYSTEM (QRS) AT-A-GLANCE (PDF)
- Quality Improvement (QI) Program
Medical Management/ Behavioral Health
- Prior Authorization Guide
- 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
Quality
Credentialing
For newly contracted providers, please email forms to AmbetterTNNetwork@centene.com.
For existing network providers, please email forms to AmbetterTNNetwork@centene.com.