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Provider Manuals & Forms | Ambetter from WellCare of Kentucky
Provider Resources
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2023 Provider and Billing Manual (PDF)
- 2022 Provider and Billing Manual (PDF)
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Well-Being Survey (PDF)
- Member Notification of Pregnancy (PDF)
- Notification of Pregnancy Form (PDF)
- Provider Fax Back Form (PDF)
- No Surprises Act Open Negotiation Form (PDF)
- Claim Dispute Form (PDF)