Don’t delay, choose an Ambetter plan today – before Open Enrollment ends May 15.
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.
Use the Pre-Auth Needed tool on our website to determine if prior authorization is required.
Submit prior authorizations via:
- Secure Provider Portal
- Medical and Behavioral Fax (Outpatient): 1-855-537-3447
Medical Fax (Inpatient): 1-866-838-7615
Behavioral Fax (inpatient): 1-866-900-6918
Timely Filing guidelines: 95 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