Provider Resources

Ambetter from Arizona Complete Health 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)
• Provider Manual Addendum (PDF)
• Prior Authorization Guide (PDF)
• Payspan (PDF)
• Quick Reference Guide (PDF)
• Secure Portal (PDF)
• Provider Expedited Certification (PDF)
• Appeal Request Form (PDF)
• Achieving Bright Futures - Newborn Visit Guidance (PDF)
• Non-Formulary And Step Therapy Exception Request Form (PDF)
• Notification of Pregnancy (NOP) Report (PDF)

Medical Management

• Pre-Auth needed?
• Prior Authorization Fax Forms
• Grievance and Appeals

Claims and Claims Payment

• Provider Claim Dispute Resolution Form (PDF)
• No Surprises Act Open Negotiation Form (PDF)

Quality

• Practice Guidelines (PDF)
• Performance Measures 2020 (PDF)
• Reducing Antibiotic Resistance (PDF)
• Providing Quality Care

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