Skip to Main Content

SAVE TIME FOR THE THINGS YOU LOVE. ENROLL IN AUTO PAY TODAY.

SAVE TIME FOR THE THINGS YOU LOVE. ENROLL IN AUTO PAY TODAY.

News

Ambetter Outpatient Authorization Form

Date: 03/22/24

Ambetter from Nebraska Total Care has improved the Outpatient Prior Authorization Form to include a dedicated fax line for Buy and Bill Drugs. The revised form will become effective 04/01/2024.

Ambetter Prior Authorization Forms can be downloaded from the Ambetter Provider Resources page.