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Welcome to the Ambetter of Tennessee page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent (formerly National Imaging Associates, Inc.) is responsible for. Additional process-specific training tools and modules can be found via links on the Resources tab at the top of ...1. The provider’s NPI number 2. The practice Tax ID Number 3. The member’s ID number HEALTH PLAN INFORMATION Ambetter from Ambetter of Tennessee Ambetter from …Discover Ambetter's health insurance, available in 26 states. Pros include competitive rates, PPO options, and a rewards program. Learn about limitations in our detailed review.Contact Us for more information. AlabamaExternal Link ... TennesseeExternal Link · TexasExternal Link ... JSON File Directory |; Site Map |. © Copyright 2024 ...Ambetter Health puede ayudar. Puede contar con que nosotros compartiremos información útil sobre COVID, sobre cómo prevenirlo y sobre cómo reconocer sus síntomas. Porque estamos aquí para proteger la salud de las personas y eso es lo que haremos siempre. Reimbursement for members in AR, MS, OK, TX. For fastest service, we encourage all Ambetter members to find a dentist in our network. Members in AR, MS, OK, TX only may choose to pay a dentist outside our network and submit a claim form (PDF) to apply for 50% reimbursement for covered services. The Ambetter Health network includes healthcare providers to deliver all of the services that the Affordable Care Act describes as Essential Health Benefits. These include: Preventive care. Hospitalization coverage. Emergency services. And more (refer to your Evidence of Coverage (EOC) for the full list of benefits) To accomplish these goals ...Reimbursement for members in AR, MS, OK, TX. For fastest service, we encourage all Ambetter members to find a dentist in our network. Members in AR, MS, OK, TX only may choose to pay a dentist outside our network and submit a claim form (PDF) to apply for 50% reimbursement for covered services.Ambetter of Tennessee: Coverage for: Individual/Family | Plan Type: EPO Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental SBC-70111TN0120025-01 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services.One point of entry allows for quick and easy access to Ambetter of Tennessee member information for multiple TINS/practices. Access Daily Patient Lists from One Screen. One concise view allows primary care providers to scan patient lists for Ambetter of Tennessee member eligibility, care gaps, and much more. Manage Batch Claims for Free.Get complete healthcare coverage in Tennessee with Ambetter of Tennessee. Check out the map below to see where we offer our Marketplace plans. Find coverage in your area. Call us today at 1-833-709-4735 ( Relay 711 ).For Providers. Healthy partnerships are our specialty. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. You’re dedicated to your patients, so we’re dedicated to you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge.PHONE 1-833-709-4735 SECURE WEB PORTAL Provider.AmbetterofTennessee.com ... AMBPROV18-TN-C-00005 AmbetterofTennessee.com FAX Medical 1-844-536-2412 Behavioral HealthAmbetter of Tennessee— your partner for success. Ambetter of Tennessee is Centene Corporation ‘s Health Insurance Marketplace product. Ambetter Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.Nurse Advice Line. We make it possible for you to talk to a registered nurse at any time—24 hours a day, 7 days a week, 365 days a year. Our nurse advice line helps you and your family receive the care you need, when you need it. It’s staffed with experienced nurses who are ready and eager to help you. You can call our nurse advice line ...Rating Area 8 – Vanderbilt Health, Ascension-St. Thomas, LifePoint, and Independent Hospitals. Disclaimer: Provider network participation status should always be confirmed on our website at AmbetterofTennessee.com or by calling Provider and Member Services: 1-833-709-4735. You can also use our Find a Provider tool located with this link ...Overall, Ambetter offers flexible healthcare options that fit dOr you can pay by phone or mail. Learn mo Nurse Advice Line. We make it possible for you to talk to a registered nurse at any time—24 hours a day, 7 days a week, 365 days a year. Our nurse advice line helps you and your family receive the care you need, when you need it. It’s staffed with experienced nurses who are ready and eager to help you. You can call our nurse advice line ...Prior Authorization. Use the Pre-Auth Needed tool on our website to determine if prior authorization is required. Submit prior authorizations via: Secure Provider Portal. External Link. Medical and Behavioral Fax: 1-844-811-8467. Phone: 1-833-709-4735. Claims. Timely Filing guidelines: 90 days from date of service. Ambetter of Tennessee. Health Insurance Marketpl Tennessee resident (6 months) U.S. Citizen or qualified legal alien; Age 18 to 64; ... Step 2 Enter Processor Control Number P2683779; Step 3 Enter Rx Group CoverRx;To find a phone number online, use a free online phone directory website, such as 411.com and WhitePages.com. You can also find a phone number online by searching the Contact secti... Step 1. Visit a participating CVS ® sto

Our contact information is below: Ambetter of Tennessee. Attn: Grievances and Appeals Department PO Box 10341 Van Nuys CA 91410 Fax: 1-833-886-7956 To file a verbal appeal, you can call us at 1-833-709-4735 (Relay 711). Resolution timeframes may vary based on the type of appeal filed.These plan options are only offered within certain areas of TN. With your Select plan, you get to pick your Primary Care Physician (PCP). Your PCP is your main doctor — the one you see for regular checkups and your first option for care. To search our online Provider Directory, visit guide.ambetterhealth.com. Remember to select an in-network PCP! Ambetter of Tennessee has the lowest priced Silver plan in Chattanooga, Nashville and Madison counties, along with a great provider network. The Ambetter Provider Network has: 2,076 Primary Care Providers 5,988 Specialists 79 Acute Care Facilities ACUTE CARE HOSPITALS: Athens Starr Regional Medical Center Bartlett St. Francis Hospital ... Ambetter of Tennessee is underwritten by Celtic Insurance Company. PRO_99590E Internal Approved 06262023 ... KEY CONTACTS & IMPORTANT PHONE NUMBERS----- 11 OVERVIEW OF OUR NETWORKS ----- 12 SECURE PROVIDER PORTAL ----- 12 ...

Ambetter of Tennessee is underwritten by Celtic Insurance Company which is a Qualified Health Plan issuer in the Tennessee Health Insurance Marketplace. This is a solicitation for insurance. ©2024 Celtic Insurance Company, AmbetterofTennessee.com. If you, or someone you’re helping, have questions about Ambetter of Tennessee, Expand ... Call us at 1-833-709-4735 ( Relay 711) or contact your broker directly. Remember to check Ambetter Health's 2024 Preferred Drug List for all covered drug updates. Great coverage and benefits just for you. As an Ambetter Health ……

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. For Providers. Healthy partnerships are ou. Possible cause: Requestor Phone Number: _____ Date of Request: _____ Mail completed form(s) and attachm.