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Handbooks & Forms for Ambetter Members | Ambetter from Absolute Total Care
Many of our member resources, such as the member handbook and forms, can be found by logging into your online member account. Click Login to create an account and access a wide array of resources!
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Quick Reference Guide (QRG)
- 2022 Quick Reference Guide (QRG) Essential, Balanced & Secure Care (PDF)
- 2022 Quick Reference Guide (QRG) Virtual (PDF)
- 2021 Ambetter Member Handbook (PDF)
- 2020 Ambetter Member Handbook (PDF)
- Get Your Flu Shot
- Balance Billing Disclosures
- 2022 Transparency Notice
- 2021 Transparency Notice
- 2020 Transparency Notice
- Statement of Non-Discrimination
- Preventive Services Guide (PDF)
- Quality Improvement (QI) Program
- Preventive Guidelines
- Where to Go for Care
- Office Visit Checklist (PDF)
- Women's Health and Cancer Rights Act Annual Notice
- Ambetter In-Network Hemophilia Pharmacies
- Dr. Office Visit Checklist (PDF)
- Interoperability and Patient Access
- Authorization to Disclose Health Information Form (PDF)
- Revocation of Authorization Form (PDF)
- Member Reimbursement Medical Claim Form (PDF)
- Grievance & Appeals Form (PDF)
- Prescription Claim Reimbursement Form (PDF)
- Donor Transplant Travel Reimbursement Form (PDF)
- Recipient Transplant Travel Reimbursement Form (PDF)
- Member Transplant Travel Reimbursement Policy (PDF)