Attestation of Completion - Ambetter of North Carolina Inc. Provider Orientation 2024

All Ambetter of North Carolina Inc. providers are required to complete a new provider orientation within 30 days of their contract effective date.

Provider Orientation Presentation:

Group Name *

TIN *

City/State/Zip *

County *

Phone *

Email *

Name *

Title *

Date *

I attest that I, or a member of the practice staff, have completed the Ambetter of North Carolina New Provider Orientation.