Materiales de referencias

• 2020 Provider and Billing Manual (PDF)
• 2021 Provider and Billing Manual (PDF)
  
• ICD-10 Information
• Quick Reference Guide (PDF)
• Payspan (PDF)
• Secure Portal (PDF)
• HEDIS 2020 Quick Reference Guide (PDF)

Administración médica

• Pre-Auth Needed?
• Prior Authorization Guide (PDF)
• Inpatient Prior Authorization Fax Form (PDF)
• Outpatient Prior Authorization Fax Form (PDF)
• Authorization and Coverage Complaints
• Provider Notification of Pregnancy Form (PDF)

Salud del comportamiento

• Discharge Consultation Form (PDF)
• OTR Completion Tip Sheet (PDF)
• Psychological or Neuropsych Testing Authorization Request Form (PDF)
• Electroconvulsive Therapy (ECT) Authorization Request Form (PDF)
• Intensive Outpatient/Day Treatment Form for Mental Health/Chemical Dependency (PDF)
• Outpatient Treatment Request Form (PDF)
• Behavioral Health HEDIS Provider Toolkit (PDF)
• Suicide Prevention (PDF)

Reclamaciones y pago de reclamaciones

• Claim Dispute Form (PDF)
• Ambetter Taxonomy Guide (PDF)

Calidad

• Quality Improvement Program Results
• 2016 HEDIS Quick Reference Guide (PDF)
• Practice Guidelines (PDF)
• Quality Improvement (QI)

Otros

• Covered Services and Authorization Grid (PDF)
• Creating a Secure Portal Account (PDF)
• Provider Relations Territory List (PDF)