NEW MEMBER? MAKE YOUR FIRST PAYMENT TO LOCK IN COVERAGE
Skip to Main Content
-
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
- Member News
- Renew Your Plan
- Health Savings Account
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
NEW MEMBER? MAKE YOUR FIRST PAYMENT TO LOCK IN COVERAGE
Main Menu
-
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
- Member News
- Renew Your Plan
- Health Savings Account
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Provider Resources
Provider Resources
Ambetter Health provides the tools and support you need to deliver the best quality of care.
Sign up for the Ambetter of Alabama quarterly newsletter for providers. Be the first to know about policy updates, quality incentives, and our impact in the community. Get Started.
Reference Materials
- 2025 Provider and Billing Manual (PDF)
- 2024 Provider and Billing Manual (PDF)
- 2025 Provider Orientation (PDF)
- 2024 Provider Orientation (PDF)
- Simplify Office Administrative Tasks Quick Reference Guide (PDF)
- ICD-10 Information
- Payspan (PDF)
- Secure Portal (PDF)
- No Surprises Act
- Respiratory Syncytial Virus (RSV) Provider Guide (PDF)
- Annual Preventative Visit Flyer (PDF)
Medical Management
- Prior Authorization Guide
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Outpatient Prior Authorization Fax Form Continuation (PDF)
- Prior Authorization Request Form for Non-Specialty Drugs (PDF)
- Musculoskeletal (MSK) Management Program Update (PDF)
Behavioral Health
Quality Improvement
- Providing Quality Care
- Supplemental Data System (SUDS) Submission Process (PDF)
- Consumer Assessment Of Healthcare Providers And Systems (CAHPS®) (PDF)
- Quick Reference Guide HEDIS® (PDF)
- Centene Vision Eye Exam for Patients w/ Diabetes Tip Sheet
- Provider CAHPS Tip Sheet (PDF)
- Cervical Cancer Screenings Tip Sheet (PDF)
- International Normalizing Ratio Monitoring For Individuals On Warfarin Tip Sheet (PDF)
- Use Of Imaging Studies For Low Back Pain (PDF)
Forms
Claims and Claims Payment
- Provider Request for Reconsideration and Claim Dispute Form (PDF)
- Consent for Sterilization Form (PDF)