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Provider Resources
Provider Resources
Ambetter Health provides the tools and support you need to deliver the best quality of care.
Reference Materials
Forms
- Non-Formulary And Step Therapy Exception Request Form (PDF)
- Notification of Pregnancy Form (PDF)
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
Quality
- Providing Quality Care
- Quick Reference GuideHEDIS® MY 2024 (PDF)
- HEDIS® Pediatric Pocket Guide: 2024 Measurement Year (PDF)
- HEDIS® Adult Pocket Guide: 2024 Measurement Year (PDF)
Other
Provider Trainings
Thank you for choosing to participate with Ambetter Health of Delaware! We share your commitment to keeping your patients healthy. We will host New Provider Orientation webinars to thoroughly onboard you as a participating provider in our network. Below, please find a list of training dates for October 2024.
Date: Thursday, October 3, 2024
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Webinar ID: 999 5101 4098
Passcode: 478380
Registration URL
Date: Tuesday, October 8, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 918 2626 3212
Passcode: 256754
Registration URL
Date: Thursday, October 17, 2024
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Webinar ID: 981 9939 3893
Passcode: 012512
Registration URL
Date: Tuesday, October 22, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 968 3977 7999
Passcode: 288544
Registration URL
Date: Thursday, October 31, 2024
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Webinar ID: 984 6043 6316
Passcode: 466030
Registration URL
Thank you for choosing to participate with Ambetter Health of Delaware! We share your commitment to keeping your patients healthy. We will host New Provider Orientation webinars to thoroughly onboard you as a participating provider in our network. Below, please find a list of training dates for November 2024.
Date: Tuesday, November 5, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 929 5680 0045
Passcode: 940084
Registration URL
Date: Thursday, November 14, 2024
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Webinar ID: 912 9325 9963
Passcode: 972430
Registration URL
Date: Tuesday, November 19, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 940 0914 6425
Passcode: 492919
Registration URL
Date: Monday, November 25, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 950 1971 5186
Passcode: 694295
Registration URL
Thank you for choosing to participate with Ambetter Health of Delaware! We share your commitment to keeping your patients healthy. We will host New Provider Orientation webinars to thoroughly onboard you as a participating provider in our network. Below, please find a list of training dates for December 2024.
Date: Thursday, December 5, 2024
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Webinar ID: 922 1642 3686
Passcode: 976897
Registration URL
Date: Tuesday, December 10, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 965 7182 2375
Passcode: 883006
Registration URL
Date: Thursday, December 19, 2024
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Webinar ID: 970 8131 8927
Passcode: 629871
Registration URL
Date: Monday, December 23, 2024
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 991 0747 1029
Passcode: 390725
Registration URL
Date: Tuesday, December 31, 2024
Time: 11:00 AM – 12:00 PM Eastern
Dial-In Number: available after registration
Webinar ID: 959 8989 0817
Passcode: 012942
Registration URL
Date & TIme | Meeting Links & Codes |
---|---|
Wednesday, October 23 Time: 10:00 AM – 11:30 AM EST | Webinar ID: 953 0511 0635 Passcode: 222035 Registration Link |
Wednesday, November 13 Time: 2:00 PM – 3:30 PM EST | Webinar ID: 933 3351 2080 Passcode: 060686 Registration Link |
Wednesday, December 18 Time: 1:30 PM – 3:00 PM EST | Webinar ID: 910 1779 3793 Passcode: 806002 Registration Link |
Coming soon.
Beginning Oct. 21, you can validate eligibility and benefits, submit claims, check claim status, submit authorizations, and access all Delaware First Health, Ambetter of DE and Wellcare payer resources via Availity Essentials.
Availity experts are hosting several live webinar sessions to help you get ready. This is a look ahead at what tools and functionality are coming, paired with live training to learn more. Space is limited, save your seat today!
- Availity Essentials Introduction
- Monday, Oct. 21 – 1 p.m. EST
- Tuesday, Oct. 29 – 10:30 a.m. EST
- Authorization Tools
- Tuesday, Oct. 22 – 1 p.m. EST
- Monday, Oct. 28 – 12 p.m. EST
- Claim Submission
- Wednesday, Oct. 23 – 12 p.m. EST
- Wednesday, Oct. 30 – 11 a.m. EST
- Claim Follow-up Tools
- Thursday, Oct. 24 – 12:30 p.m. EST
- Thursday, Oct. 31 – 3 p.m. EST
- Risk & Quality Applications
- Wednesday, Oct. 23 – 1:30 p.m. EST
- Friday, Nov. 1 – 11 a.m. EST
Please Note: You must be logged into your Availity Essentials account to register and attend live training. To register for an Essentials account, visit Register and Get Started with Availity Essentials
Enrolling for a provider webinar in the Availity Learning Center (ALC)
- Log in to Availity Essentials.
- Select Help & Training > Get Trained.
- ALC opens in a new browser tab. If it does not, have the user check their browser settings to allow for pop-ups and redirects from apps.availity.com and availitylearning.learnupon.com.
- Select the Sessions tab.
- Select the View Course button next to the webinar.
- Select the Enroll button.