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Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Our Benefits
- My Health Pays Rewards®
- Coverage Area Map
- Ways to Save
- What is Ambetter Health?
- Shop and Compare Plans
- Find a Doctor
Use your ZIP Code to find your personal plan.
- See coverage in your area
- Find doctors and hospitals
- View pharmacy program benefits
- View essential health benefits
Find and enroll in a plan that's right for you.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
- Pay Now
- Find a Doctor
- Drug Coverage
- Forms and Materials
- Ways to Pay
- New Members
- Renew Your Plan
- Health Savings Account
- Better Health Center
- The Better Bulletin
- Member News
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Manuals & Forms for Providers | Ambetter from Meridian
Provider Resources
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2024 Provider and Billing Manual (PDF)
- 2023 Provider and Billing Manual (PDF)
- Member Notification of Pregnancy (PDF)
- Notification of Pregnancy Form (PDF)
- Well-Being Survey (PDF)
- Prior Authorization Request Form for Prescription Drugs (PDF)
- ICD-10 Information
- Practice Guidelines (PDF)
- No Surprises Act Open Negotiation Form (PDF)
- Diabetes Care Form (PDF)
- Prenatal and Postpartum Care (PDF)
- Women’s Care Form (PDF)
- Well-Care Visits Form (PDF)
- Annual Care for Older Adults (COA) Form (PDF)
- Providing Quality Care
- 2024 Provider Orientation (PDF)
- Navigating the Member ID Card (PDF)
Medical Management/ Behavioral Health
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Clinical Policy: Brand Name Override and Non-Formulary Medications (PDF)
- Biopharmacy Outpatient Prior Authorization Fax Form (PDF)
- Provider Request for Reconsideration and Claim Dispute Form (PDF)
- Prior Authorization Request Form for Non-Specialty Drugs (PDF)
- Non-Formulary And Step Therapy Exception Request Form (PDF)