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Manuals & Forms for Ambetter Providers | Ambetter of Illinois
Provider Resources
Coronavirus (COVID-19)
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2022 Provider and Billing Manual (PDF)
- 2020 Provider and Billing Manual (PDF)
- 2021 Provider and Billing Manual (PDF)
- Quick Reference Guide (PDF)
- Ambetter Authorization Lookup (PDF)
- Payspan (PDF)
- Secure Portal (PDF)
- ICD-10 Information
- Referral Notice for Providers
- Ambetter Balance Billing Reminder
Behavioral Health
Medical Management
- Pre-Auth Needed?
- Prior Authorization Quick Reference Guide (PDF)
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)