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 ...Step 1. Visit a participating CVS ® store.*. Step 2. Look for blue labels and 100s of eligible items across the store. Step 3. Redeem at the register or pay with your Benefit Network Card.*.Authorization Call Center Phone Numbers. If you wish to contact Evolent (formerly National Imaging Associates, Inc.) directly, please use the appropriate toll-free number for the respective health plan. Click here for a complete list of telephone numbers.Contact us at 1-877-687-1187 ( Relay 711) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. **Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care. Ambetter Health does not provide medical care.For example, say you have a $100 bill. With a few taps on your phone, Paytient can split that bill into 4 payments of $25. No smartphone? No problem. ... Paytient phone number: ... 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 ...The form fields are loading, please wait. Enroll in an Ambetter Health plan in four simple steps! Enter your details, compare options, choose the best plan for you, and kick-start your coverage.Virtual 24/7 Care may be a good fit if you like: Easy, 24/7 access to Teledoc providers. Fast care for non-emergency issues. Flexibility scheduling visits immediately or for future dates. *Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care. Virtual 24/7 Care cost share does not apply to HSA plans until ...For example, say you have a $100 bill. With a few taps on your phone, Paytient can split that bill into 4 payments of $25. No smartphone? No problem. ... Paytient phone number: ... 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 ...Broker Services 1-855-700-7985, Option 2. or email Broker Services at [email protected]. Research Member Inquires. Enrollment Dates. Paid to Dates. ID Card Requests. Commissions. Statement …Ambetter Telehealth is now called Virtual 24/7 Care. $0 copay for Virtual 24/7 Care appointments through Teladoc Health, including virtual urgent care visits on most plans (HSA plan after deductible). Continued statewide presence for 2024. My Health Pays® rewards program continues to be a great benefit for Ambetter members. Requestor Phone Number: _____ Date of Request: _____ Mail completed form(s) and attachments to the appropriate address: Ambetter of Tennessee Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640-5010 . Ambetter of Tennessee Attn: Level II – Claim Dispute PO Box 5000 Farmington, MO 63640-5000 Search without logging in. Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy.The Ambetter Member Perks Program is available exclusively to Ambetter Members. The program is brought to you by Abenity. As an Ambetter Health member, you can now enjoy healthy discounts to help you be well, stay well, and save smart:Contact us at 1-877-687-1197 ( TTY 711) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. **Formally known as Ambetter Telehealth. Cost sharing does not apply when using Virtual 24/7 Care. Ambetter Health does not provide medical care.In today’s digital age, it is important to stay informed about how your phone number is being used and tracked. Knowing the basics of phone number tracking can help you protect you...You can also reach us from 8am-8pm EST at 1-833-705-2175 ( TTY 711 ). There are many ways to get in touch with us, and resources available on our website: The form fields are loading, please wait. If you have a question about Ambetter from WellCare of Kentucky or your affordable health insurance coverage, please contact us.Authorization Call Center Phone Numbers. If you wish to contact Evolent (formerly National Imaging Associates, Inc.) directly, please use the appropriate toll-free number for the respective health plan. Click here for a complete list of telephone numbers.Claim your practice. 5 Specialties 7 Practicing Physicians. (1) Write A Review. Tennessee Valley Pain Management. 2700 Westside Dr NW Ste 306 Cleveland, TN 37312. (423) 664-4635. OVERVIEW.Dec 30, 2019 · Ambetter of North Carolina Member and Provider Services Phone Number: 833-863-1310: Ambetter of Tennessee: 68069: 12515-8 Research Blvd, Suite 400 Austin, TX 78759: Ambetter of Tennessee Member and Provider Services Phone Number: 833-709-4735 You can also reach us from 8am-8pm CST at 1-855-650-3789 ( TTY 711 ). There are many ways to get in touch with us, and resources available on our website: Enroll with Ambetter. Login to the Secure Member Portal. New Ambetter Members – Set up your Online Member Account. Existing Ambetter Members – Change your Primary Care Provider (PCP) or ...Join Our Network. Thank you for your interest in participating in the Ambetter of Tennessee network! If you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-833-709-4735. Required fields are marked with an asterisk (*) Get answers about billing and payments or learn about enrollment and benefits. Contact us if you still need help. Watch our step-by-step guide on how to use your Ambetter Health online member account.***. Use your account at any time to manage your plan, find information about your coverage, access options for care, view your rewards and much ... Plans vary in the number of co-payments and out-of-pocket expenses you may have. Your Dental Health. ... (Ambetter of Oklahoma); PA (Ambetter from PA Health & Wellness); SC (Ambetter from Absolute Total Care); TN (Ambetter of Tennessee); TX (Ambetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance ...Yes. Your Ambetter Health coverage includes in-network Telehealth services through Virtual 24/7 Care. You can get answers to medical questions and care advice — even prescriptions. And you can access Virtual 24/7 Care providers on your computer or smart phone anywhere and anytime. Ambetter of Tennessee. Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage. + optional vision coverage for subscribers. Provider Services for Ambetter. 833-662-1996. Members: call the number on the back of your ID card or go to the plan site. 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.The Tennessee Retirement System is a collection of retirement plans for public employees. Read on for details and the current state of the system. The Tennessee Retirement System, ... After you enroll and pay your first month’s premium, you’ll receive your Ambetter Health welcome information. This will include your new Ambetter Health ID Card! Then you’re covered! Enroll in an Ambetter Health plan in four simple steps! Enter your details, compare options, choose the best plan for you, and kick-start your coverage. You can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). There are many ways to get in touch with us, and resources available on our website: The form fields are loading, please wait. If you have a question about Ambetter from Sunshine Health or your affordable health insurance coverage, please contact us.You can also reach us from 8am-8pm CST at 1-877-617-0390 ( TTY 1-877-617-0392 ). There are many ways to get in touch with us, and resources available on our website: Enroll with Ambetter Health. Login to the Secure Member Portal. New Ambetter Health Members – Set up your Online Member Account. Existing Ambetter Health Members – Change your ...Please read these terms and conditions carefully before using this web site. Your use of Centene Corporation’s Ambetter web site (the “Site”) is expressly conditioned on your acceptance of the following terms and conditions (“Terms and Conditions”). By using the Site, you signify your assent to these Terms and Conditions. Ambetter of Tennessee. Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage. + optional dental coverage for subscribers. Provider Services for Ambetter. 833-662-1996. Members: call the number on the back of your ID card or go to the plan site. About Ambetter Health. Experienced Healthcare. Your Local Community. Ambetter Health offers affordable Health Insurance Marketplace plans. At Ambetter Health, we provide you with the benefits, tools, and coverage you need to take charge of your health. Ambetter Health insurance benefits include: Virtual 24/7 Care. My Health Pays® rewards program.Research which doctors of Memphis, TN accepts Ambetter Insurance plans such as Ambetter Balanced Care 2 (2019): IlliniCare Health Network, Ambetter Secure Care 2 (2019) with 3 Free PCP Visits & Ambetter Balanced Care 1 (2019) + Vision, and then compare rates before buyingThe Tennessee Retirement System is a collection of retirement plans for public employees. Read on for details and the current state of the system. The Tennessee Retirement System, ...Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. Ambetter offers quality, affordable health insurance in Tennessee that fits your needs and budget.Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. Ambetter offers quality, affordable health insurance in Tennessee that fits your needs and budget.Ambetter of Tennessee. Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage. + optional vision coverage for subscribers. Provider Services for Ambetter. 833-662-1996. Members: call the number on the back of your ID card or go to the plan site.Ambetter of Tennessee Attn: Grievances and Appeals Department 12515-8 Research Blvd Ste 400 Austin, TX 78759 Phone 1-833-709-4735 (Relay 711) Fax 1-833-886-7956 (Grievances & Appeals) Member’s Name: Member’s Ambetter #: Street Address: City . State . Zip . Member Phone Number: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.Adult Dental and Vision Buy-Up plans are available for all adults 19 years of age and older in all Ambetter markets except: Washington, New Mexico and New Jersey. Kentucky offers the buy-up for ages 21 and older because pediatric coverage is through age 20. There is a $1,000 maximum benefit on adult dental plans.We've provided several ways for you to pay your premium. Learn More! Get answers to questions. 1-833-709-4735 ( Relay 711 )Have your tax ID number ready during sign up. Questions? Contact Ambetter of Tennessee at 1-833-709-4735. Company. About Ambetter Health ... or someone you’re helping, have questions about Ambetter of Tennessee, and are not proficient in English, you have the right to get help and information in your language at no cost and in a timely …Whether you’re receiving strange phone calls from numbers you don’t recognize or just want to learn the number of a person or organization you expect to be calling soon, there are ...Ambetter of Tennessee Attn: Grievances and Appeals Department 12515-8 Research Blvd Ste 400 Austin, TX 78759 Phone 1-833-709-4735 (Relay 711) Fax 1-833-886-7956 (Grievances & Appeals) Member’s Name: Member’s Ambetter #: Street Address: City . State . Zip . Member Phone Number:Ambetter Telehealth is now called Virtual 24/7 Care. $0 copay for Virtual 24/7 Care appointments through Teladoc Health, including virtual urgent care visits on most plans (HSA plan after deductible). Continued statewide presence for 2024. My Health Pays® rewards program continues to be a great benefit for Ambetter members.Virtual 24/7 Care may be a good fit if you like: Easy, 24/7 access to Teledoc providers. Fast care for non-emergency issues. Flexibility scheduling visits immediately or for future dates. *Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care. Virtual 24/7 Care cost share does not apply to HSA plans until ...For Brokers. Find your state below to see Ambetter Health insurance plans available in your area. Health insurance brokers interested in learning about opportunities with Ambetter Health may call 1-855-700-7985. View the Broker News Archive. Ambetter’s coverage options help your clients stay healthy w/ our variety of programs, services & tools.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 …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 ...Phone *Fax. SERVICING PROVIDER / FACILITY INFORMATION. Same as Requesting Provider ... (Enter the Service type number in the boxes) Delivery. 779 C-Section Delivery 720 Vaginal Delivery. Inpatient Rehab. 427 Rehab. ... Inpatient Authorization Form - TN Author: Ambetter of Tennessee Subject: Inpatient Authorization Form Keywords: …Learn More. In a Blue Cross Blue Shield (BCBS) versus Ambetter comparison, we’ve determined BCBS as the superior option for its availability, wider selection of health care plans and mobile app availability. While Ambetter is still a good choice, due to its limited availability, lack of a mobile app and limited health plan types …Ambetter of Tennessee. Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage. + optional vision coverage for subscribers. Provider Services for Ambetter. 833-662-1996. Members: call the number on the back of your ID card or go to the plan site.Here are the ways our provider community can contact us: For general and routine questions or concerns, please contact customer service at: Ambetter. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature.Please read these terms and conditions carefully before using this web site. Your use of Centene Corporation’s Ambetter web site (the “Site”) is expressly conditioned on your acceptance of the following terms and conditions (“Terms and Conditions”). By using the Site, you signify your assent to these Terms and Conditions.Contact us at 1-877-687-1187 ( Relay 711) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. **Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care. Ambetter Health does not provide medical care.Get Affordable Health Insurance Plans from Ambetter Health. Find Quality Insurance Coverage to Fit Your Needs & Budget. Buy Your Plan Today.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.Call Provider Services 1-877-687-1197 for clarification. What is the Ambetter Medical claims mailing address? Ambetter Claims Processing PO Box 5010 Farmington, MO 63640-5010.24/7 medical help from doctors via video and phone, with $0 co-pay**. Ambetter Telehealth** gives you access to doctors for non-emergency health issues or questions. Request a prescription or ask for medical advice by video or phone, 24/7. ... Tennessee; South Carolina; Texas; ... Find the Member Services phone number for your state at ...Ambetter of Tennessee is underwritten by Celtic Insurance Company. PRO_120105E Internal Approved May 11, 2024 ... KEY CONTACTS & IMPORTANT PHONE NUMBERS ----- 11 OVERVIEW OF OUR NETWORKS ----- 13 ... Provider Phone Call Protocol ----- 24 24-Hour Access to Providers ----- 24 ...Everything You Need. Right Here. With Ambetter of Tennessee it's easy to take charge of your health. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. 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 Ambetter of Tennessee Ambetter of Tennessee 9009 Carothers Parkway, Suite B5 Franklin, TN 37067 Phone: 1-833-709-4735 Fax – 1-844-918-1191 The form fields are loading, please wait. Enroll in an Ambetter Health plan in four simple steps! Enter your details, compare options, choose the best plan for you, and kick-start your coverage.Contact us at 1-833-709-4735 and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. You will only be able to purchase public transportation directly from the agency either in-person or online.For Brokers. Find your state below to see Ambetter Health insurance plans available in your area. Health insurance brokers interested in learning about opportunities with Ambetter Health may call 1-855-700-7985. View the Broker News Archive. Ambetter’s coverage options help your clients stay healthy w/ our variety of programs, services & tools.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.Call Ambetter Health billing services to pay by phone. Pay using our Interactive Voice Response (IVR) system. Or if you need help, talk to a representative at 1-844-265-1278 ( TTY 1-855-742-0123 ). Comuníquese con nosotros. Queremos oír su opinión. Llene este sencillo formulario, y nos comunicaremos con usted a la brevedad. Alabama. Arkansas. Arizona. Delaware. Florida. Georgia. 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.Contact information for all services that require prior authorization are included below: Prior Authorization Phone Numbers: Physical Health: 1-877-687-1196. Behavioral Health: 1-877-687-1196. Clinician Administered Drugs (CAD): 1-877-687-1196 , ext. 22272. Prescription Drugs: 1-866-399-0928.Different plans may have different benefits. Plans vary in the number of co-payments and out-of-pocket expenses you may have. ... (Ambetter from PA Health & Wellness); SC (Ambetter from Absolute Total Care); TN (Ambetter of Tennessee); TX (Ambetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance …Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. Ambetter offers quality, affordable health insurance in Tennessee that fits your needs and budget.Phone You can initiate either the appeal or grievance process by phone. Contact our Customer Contact Center Monday through Friday from 7 a.m. to 6 p.m. at 888-926-5057 (TTY 800-977-6757 for the hearing impaired). Mail You can mail a written appeal or grievance to: Ambetter from Health Net Attn: Appeals & Grievances Department P.O. … Pre-Auth Check. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. A prior authorization is not a guarantee of payment. Payment may be denied in accordance with Plan’s policies and procedures and applicable law. For specific details, please refer to the provider manual. Ambetter Telehealth is now called Virtual 24/7 Care. $0 copay for Virtual 24/7 Care appointments through Teladoc Health, including virtual urgent care visits on most plans (HSA plan after deductible). Continued statewide presence for 2024. My Health Pays® rewards program continues to be a great benefit for Ambetter members.As an Ambetter Health member, you can maximize your pharmacy benefits by filling your prescriptions by mail. Eligible members may save when ordering a 90-day supply*. Delivery is free and can be to your home, workplace or any address you choose. Prescription delivery may be right for you if you take medications regularly for conditions like ...See the Member Services phone number for your state within these FAQs. How can I contact Member Services for my plan? State. Health Plan Name. Phone Numbers, TTY/TDD, Nurse Advice Line ... TN. Ambetter of Tennessee. 1-833-709-4735 (Relay 711) TX: Ambetter from Superior HealthPlan: 1-877-687-1196 (Relay Texas/TTY 1-800-735 …Thank you for your interest in becoming a broker for Ambetter Health. Please contact the sales department at 1-855-700-7985 to schedule an appointment, or complete the form below and a sales representative will contact you. 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 ... Are you trying to find out who owns a phone number? If so, you’re not alone. With the rise of telemarketing and scam calls, it’s becoming increasingly important to know who is call...
Comuníquese con nosotros. Queremos oír su opinión. Llene este sencillo formulario, y nos comunicaremos con usted a la brevedad. Alabama. Arkansas. Arizona. Delaware. Florida. Georgia.. Ku power outages lexington ky
Your Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan.Yes. Your Ambetter coverage includes in-network Telehealth services through Virtual 24/7 Care. You can get answers to medical questions and care advice — even prescriptions. And you can access Virtual 24/7 Care on your computer or …24/7 medical help from doctors via video and phone, with $0 co-pay**. Ambetter Telehealth** gives you access to doctors for non-emergency health issues or questions. Request a prescription or ask for medical advice by video or phone, 24/7. ... Tennessee; South Carolina; Texas; ... Find the Member Services phone number for your state at ...Broker Contact. Thank you for your interest in becoming a broker for Ambetter of Tennessee. Please contact the sales department at 1-855-700-7985 to schedule an appointment, or complete the form below and a sales representative will contact you. Required fields are marked with an asterisk (*)The only thing you need to do is log in to your Ambetter Health account and activate My Health Pays. That’s it! Then, you can start earning rewards every time you complete an activity. Check out which rewards you qualify for based on your state’s plan. Get Rewards. Alabama. Arizona. Arkansas. You can also reach us from 8am-8pm CDT at 1-833-709-4735 ( Relay 711 ). There are many ways to get in touch with us, and resources available on our website: Enroll with Ambetter. Login to the Secure Member Portal. New Ambetter Members – Set up your Online Member Account. Existing Ambetter Members – Change your Primary Care Provider (PCP) or ... 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 ... Ambetter of Tennessee. Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage. + optional vision coverage for subscribers. Provider Services for Ambetter. 833-662-1996. Members: call the number on the back of your ID card or go to the plan site. Join Our Network. Thank you for your interest in participating in the Ambetter of Tennessee network! If you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-833-709-4735. Required fields are marked with an asterisk (*) You can also reach us from 8am-8pm CST at 1-800-442-1623 ( TTY 711 ). There are many ways to get in touch with us, and resources available on our website: Enroll with Ambetter Health. Find a Doctor. Required fields are marked with an asterisk (*) The form fields are loading, please wait.If you’re trying to find someone’s phone number, you might have a hard time if you don’t know where to look. Back in the day, many people would list their phone numbers in the Whit...To get started, contact us at 1-800-511-5144. Hemophilia Network. Please refer to the link below for a comprehensive listing of Ambetter Health’s in-network hemophilia pharmacies. We are committed to providing appropriate, high-quality, and cost-effective drug therapy to Ambetter from Magnolia Health members. See our pharmacy resources. Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. Ambetter offers quality, affordable health insurance in Tennessee that fits your needs and budget. In today’s digital age, having a phone number is essential for communication. However, traditional phone services can come with hefty charges and monthly fees. Fortunately, there a...Ambetter Health Plans: Alabama (800) 442-1623; Arizona (888) 926-5057; Arkansas (877) 617-0390; ... If you cannot find the health plan you are looking for in the phone directory provided above, you can obtain its contact information by visiting the health plan's website. ... The Work Number, at 800-367-5690 or ...Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. Ambetter offers quality, affordable health insurance in Tennessee that fits your needs and budget.Requestor Phone Number: _____ Date of Request: _____ Mail completed form(s) and attachments to the appropriate address: Ambetter of Tennessee Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640-5010 . Ambetter of Tennessee Attn: Level II – Claim Dispute PO Box 5010 Farmington, MO 63640-5010.
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