Provider Toolkit: Quick Reference Guide
Simplify Office Administrative Tasks
Keep our Quick Reference Guide nearby to make pre-visit planning and post-visit tasks quick and easy.
Patient Care Gaps
Find recommended services that a member has not completed.
- Visit the Secure Provider Portal.
- Review patient informationfor any gaps in care.
- Plan to address care gapsduring future appointment.
Timely Filing guidelines: 90 days from date of service.
Claims can be submitted via:
- Secure Portal
- Clearinghouses: EDI Payor ID 68069
- Mail paper claims to: P.O. Box 5010 | Farmington, MO 63640-5010
- Verify member eligibility.
- Check for patient care gaps and address them during upcoming office visit.
- Use Pre-Auth Needed tool to determine if prior authorization is needed before appointment.
Remember, you're able to see patients from any state offering Ambetter!