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Recursos para proveedores
Recursos para proveedores
Ambetter brinda las herramientas y apoyo que usted necesita para dar atención de la mejor calidad.
Materiales de referencias
- 2023 Provider and Billing Manual (PDF)
- 2022 Provider and Billing Manual (PDF)
- 2021 Provider and Billing Manual (PDF)
- Quick Reference Guide (PDF)
- ICD-10 Information
- Payspan (PDF)
- Secure Portal (PDF)
- Provider Portal Enhancements: Claim Reconsideration and Denial Explanations (PDF)
- Provider Town Hall (PDF)
- No Surprises Act Open Negotiation Form (PDF)
- Ambetter Provider Claim Reconsideration/Dispute Form (PDF)
Administración médica/ Salud del comportamiento
- Prior Authorization Guide (PDF)
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)
- Notification of Pregnancy (NOP) Form (PDF)
- Pharmacy Forms
Calidad
- Quality Improvement (QI) Program
- Practice Guidelines (PDF)
- Cultural Competence and Linguistics Appropriate Services (CCLAS) Program (PDF)
National Imagine Associates (NIA)
New Century Health - Oncology
All oncology-related chemotherapeutic drugs and supportive agents will require prior authorization from New Century Health (NCH) before being administered in a physician’s office, outpatient hospital, or ambulatory setting.
This process applies to both Medical Benefit (Buy and Bill Request) AND Pharmacy Services (Retail Pharmacy)
Pre-Approval Process
The requesting physician must complete an authorization request using one of the following methods:
- Log in to the NCH Provider Web Portal at https://my.newcenturyhealth.com.
- Call 1-888-999-7713 and select option 1, from 8 a.m. to 8 p.m. EST, Monday through Friday. General New Century Health Information.
- New Century Health FAQ (PDF)