Find the right department

Pharmacy Services line listed in the Ambetter provider quick reference guide with the plan's BIN/PCN/group; for pharmacy claims and coverage determination questions, not for medical authorizations.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Appeals/grievances fax from the Ambetter provider quick reference guide. Post-service provider appeals may be limited to mail and the provider portal in some states; read the state guide.

Washington guide: appeals fax 1-855-218-0589; grievances to P.O. Box 10341, Van Nuys, CA 91410.

Fax listed under 'Care and Disease Management Referrals' in the Ambetter provider quick reference guide. Not for prior authorization requests unless the guide lists the same fax for that use.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Ambetter Marketplace (exchange) provider quick reference guide, January 2026 edition: Provider Services IVR; the same guide directs urgent authorization requests and inpatient admission notification to this number. Refer to the member ID card for the correct plan and authorization/claims process.

Printed on most state Ambetter provider quick reference guides; some states list a local appeals address instead (GA, NH, NV, TX, WA, OH use separate appeals addresses in their guides).

From January 2026 Ambetter provider quick reference guide.

Quick reference guide: EDI team EDIBA@centene.com or Centene EDI support at 1-800-225-2573 ext. 6075525; preferred clearinghouse Availity (payer ID 68069). Phone and extension recorded in notes only because the guide prints them as a single string with extension.

From January 2026 Ambetter provider quick reference guide.

Risk Management Fraud, Waste & Abuse Hotline printed on every Ambetter provider quick reference guide (also shown for Centene dental and vision). Not for claims or authorizations.

Pharmacy appeals fax 1-844-235-5091 (Pharmacy Services, Attn: Pharmacy Appeals, P.O. Box 31398, Tampa).

Medical and behavioral health PA fax (same number). Discharge-only DME/home health fax 833-422-1462. Urgent requests and admission notifications by phone and follow the prompts.

Payer ID 68069; preferred clearinghouse Availity (1-800-282-4548). Timely filing 180 days from date of service. Phone/email shown are the EDI team.

Pharmacy request fax shown; buy-and-bill drug fax 866-351-7388. ePA via CoverMyMeds.

From January 2026 Ambetter provider quick reference guide.

From January 2026 Ambetter provider quick reference guide.

From January 2026 Ambetter provider quick reference guide.

From January 2026 Ambetter provider quick reference guide. Fax is medical PA fax.

Post-acute facility services for Ambetter of Illinois need to be verified by CareCentrix.

From January 2026 Ambetter provider quick reference guide.

From January 2026 Ambetter provider quick reference guide. Also urgent authorization and admission notification.

From January 2026 Ambetter provider quick reference guide.

General customer service for all AzCH plans when the plan-specific line is unknown. Former Care1st Health Plan Arizona members moved to AzCH-Complete Care Plan on October 1, 2024.

Plan phone listed by AHCCCS (may be member-facing).

Potential (new) providers email credentialing forms to AzCHpotentialprovider@azcompletehealth.com; existing network providers send forms/updates to the provider data address used here.

Questions about pharmacy-benefit infusion/site-of-care requirements; PA requests themselves go via CoverMyMeds or Surescripts.

Email to learn who your assigned AzCH Provider Engagement Specialist is.

Biopharmacy requests on the outpatient PA form (Rev. 052022). Oncology/supportive drugs go through Evolent instead.

Medicaid oncology/supportive drug PA through Evolent: provider web portal, eFax, or Evolent UM Intake at 1-888-999-7713 option 2.

Written member/provider grievances and appeals for AzCH-CCP; may also be initiated by phone through Customer Service 8 a.m.-5 p.m. A provider needs written member consent to appeal on a member's behalf.

Medicaid home health prior authorizations are requested through Tango Care (portal, phone or fax).

AzCH-CCP (AHCCCS Complete Care, including former Care1st Arizona members) paper claims; timely filing 120 days. Secure portal or clearinghouse preferred (EDI payer IDs in the page accordions).

Standard inpatient and outpatient Medicaid PA requests on the AzCH PA forms; standard determinations within 7 calendar days of receiving all information. Secure portal is the preferred route. Behavioral health requests use a separate fax (844-918-1192).

DHS contact page lists as main line; EVV sheet lists as provider services.

National Imaging Associates (radmd.com) handles imaging PA listed in the Buckeye Ohio Medicaid manual contact table.

Dental benefit administrator for Buckeye Ohio Medicaid; EDI payer ID D004202 via OMES.

Vision benefit administrator for Buckeye Ohio Medicaid; EDI payer ID V004202 via OMES.

A dedicated provider services number was not shown on the pages checked.