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Owner & Forms for Providers | Ambetter from Buckeye Health Plan
Provider Resources
Ambetter Health provides of tools and technical you need to deliver the best quality of care.
Reference Materials
- 2024 Provider & Billing Manual (PDF)
- 2023 Provider & Billing Instructions (PDF)
- Quick Reference Guide (PDF)
- Prior Authorization Guide (PDF)
- Prior Auths Removed 3-31-21 (PDF)
- Secure Portal (PDF)
- Payspan (PDF)
- ICD-10 About
- Electronic Transactions (PDF)
- Walk-in Surgery Center Optimization Coding (PDF)
- DIA Body Medicine Request Checklist (PDF)
- NIA Physical Medicine Services FAQs (PDF)
- NIA Expanded Partnership Provider Writing (PDF)
- National Imaging Associates, Inc. (NIA)’s Peer-to-Peer Process (PDF)
- Ambetter Earlier Authorization Changes - Effective 10/01/2021 (PDF)
- Ambetter Prior Authorisation Change Notification Changes Valid 11/1/21 (PDF)
- Non-Formulary And Step Medical Exception Please Enter (PDF)
- 2023 Provider Orientation (PDF)
- RSV Handbill (PDF)
Medizintechnik Management/Behavioral Health
- Pre-Auth Needed?
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)
- CDMS Barcoded Form Disclosure (PDF)
- Grievance plus Appeals
- BH - Discharge Consultation Form (PDF)
- BH - SMART Goals Fact Sheet (PDF)