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Provider Services department at 1-866-796-0542 to request that a copy of this manual be mailed to you. In accordance with the Participating Provider Agreement, providers are required to comply with the provisions of this manual. Ambetter routinely monitors compliance with the various requirements in this manual and

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If you have questions regarding this update, please contact our Provider Customer Service Center at (866) 796-0542 or your Provider Engagement Specialist. If you need contact information for your assigned Provider Engagement, please email [email protected]: 1-866-796-0542 : Pharmacy Services: HMO SNP Prior Authorization- Phone: 1-877-935-8020 Fax: 1-866-226-1093 : 9 October 30, 2019 . HMO, NON-DSNP Prior Authorization- ... 1-866-685-8664. EDI Claims Assistance. For EDI Claim Assistance inquires, call 1-800-225-2573, ext. 6075525. Email: [email protected] . Payspan1 -866 -796 -0542 azcompletehealth.com PROVIDER DISPUTES AzCH-Complete Care Plan Provider Disputes 1870 W. Rio Salado Parkway, S te. 2A Tempe, AZ 85281 STATE FAIR HEARINGS AzCH-Complete Care Plan Provider State Fair Hearings 1870 W. Rio Salado Parkway, S te. 2A Tempe, AZ 85 281 of service should contactNurse Advice Line: 1-866-534-5963; Provider Customer Service: 1-866-796-0542. Are you or someone you know experiencing a behavioral health crisis? Call the statewide crisis line. It is available 24 hours a day, 7 days a week. Crisis services are available to any Arizona resident, even if you do not have health insurance coverage.Interpreter Services Phone: 1-866-796-0542 (TTY: 711) Pharmacy Services HMO SNP Prior Authorization Phone: 1-877-935-8020 Fax: 1-866-226-1093: 9 September 3, 2020 National Imaging Associates (NIA) 1-800-424-4824 Website: RadMD.com : Envolve Vision Website: visionbenefits.envolvehealth.com

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Our provider directory provides a current list of our in-network providers. When searching Ambetter Guide, please be sure to choose the correct state, plan year and the “ SELECT ” network before searching. You can also access this tool via our provider portal. · Call Our Provider Call Center 866-796-0542.

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Provider Update News & Announcements | August 2, 2023 | 1 Page | Update 23-085 1 | P a g e 23-085 Physicians • Behavioral Health Physicians

1-866-796-0542. Arizona Complete Health-Complete Care Plan Provider Manual (October 2018 Edition) 2 Table of Contents - Introduction to Arizona Complete Health ...

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