Report a Problem

Have you found any inaccurate data on Find a Provider? Use this form to help us ensure that the Provider data on our Find a Provider tool is accurate.

If you would like to submit this information by phone, or if you have any questions please contact us at:

Phone: 1-877-687-1197

Required fields are marked with an asterisk (*)

Are you a Member, Prospect, Provider or Broker? * Member Prospect Provider Broker

Provider NPI * NPI can be found on the Ambetter Guide under provider details.

Provider Name *

Provider Specialty *

Provider Address * Ex. 123 Test Street, City, State 12345

Provider Phone Number *

If "other" was selected, please provide additional information.

This form will send your message to Ambetter from Coordinated Care as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Ambetter from Coordinated Care through email, you accept associated risks. Ambetter from Coordinated Care does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal.

Agency Contact Information

National Producer Number (NPN) *

Agent/Broker Name *

Agent/Broker Phone Number *

Agent/Broker Email Address *