Secure Provider Portal Enhancement

Date: 04/19/22

Secure Provider Portal Enhancement - Introducing InterQual ConnectTM™

Ambetter from Absolute Total Care Secure Provider Portal

Ambetter from Absolute Total Care values the relationships we have with our provider partners and works to ensure that doing business with us is easy and straightforward. A key component of meeting provider needs is our secure Provider Portal, which enables providers to conduct business with Ambetter from Absolute Total Care from the convenience of their desktops seamlessly and in real time. 

New Features

We are pleased to announce effective 5/1/2022, the integration of an exciting new tool, InterQual Connect™ in our Secure Provider Portal. The new tool has features that will simplify the provider experience and offers several new capabilities, such as:

• Streamlined web authorization request
• Easy access to InterQual Connect to complete medical review
  • Completed InterQual medical review will automatically be included with your web authorization submission
  • Possible same-day approval based on outcome of a completed InterQual medical necessity review
• Identifies non-submitted service lines and provides reason for non-submittal 

We believe the enhancements to our Provider Portal will create a more user-friendly experience and enhance your ease of doing business with Ambetter from Absolute Total Care. We hope you will take a moment to explore them.

Please note: There are no changes to the current processes for prior authorization requests reviewed by third party vendors, such as: NIA, Turning Point and New Century Health.

Please contact your Provider Relations Representative or call Provider Services at 1-833-270-5443 with any questions you may have.