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Switch to Ambetter today. Enroll Now

Go to Ambetter of Tennessee homepage Go to Ambetter of Tennessee homepage
Navigation Menu
  • Plans and Enrollment show Plans and Enrollment menu
    • About Our Plans
      • Our Health Plans
      • Plan Options
      • Find a Provider
      • Find a Medication
      • Coverage Area Map
      • What is Ambetter?
    • Enroll in a Plan
      • How to Enroll
      • Get Ready Now
      • Special Enrollment
  • Health and Wellness show Health and Wellness menu
      • My Health Pays Rewards®
      • Pharmacy Program
      • 24/7 Nurse Advice Line
      • Care Management
      • Health Management Programs
      • Start Smart for Your Baby®
      • Ambetter Telehealth
  • Understanding Insurance show Understanding Insurance menu
      • Health Insurance Marketplace
      • Healthcare Savings
      • Health Insurance Terms
      • FAQs
  • Member Resources show Member Resources menu
    • Helpful Tools
      • Paying My Bill
      • Pay My Premium
      • Find a Doctor
      • Find a Medication
      • Materials and Forms
      • Renewal Information
      • My Health Pays Rewards®
    • Stay Informed
      • Your Better Health Center
      • The Better Bulletin
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Provider Resources

 

Provider Resources

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

Reference Materials

  • 2019 Provider & Billing Manual (PDF)
  • 2020 Provider & Billing Manual (PDF)
  • Quick Reference Guide (PDF)
  • ICD-10 Information
  • Payspan (PDF)
  • Secure Portal (PDF)

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)

You can see Ambetter members from any state. Please see the Provider Manual (PDF) for details.

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