Ambetter Health
CommercialAlso covers: Ambetter, Ambetter from Superior HealthPlan, Ambetter from Sunshine Health
Payer ID
68069
Consistent across several state QRGs but state-specific by design — can vary by state/clearinghouse; verify on the card and state quick-reference guide.
Timely Filing Limit (TFL)
Commonly 180 days from date of service for participating providers (varies by state)
Appeal Window
Reconsideration generally within 180 days of EOP; appeal windows vary by state
Clearinghouse
Availity (preferred)
Provider Services
877-687-1197
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
Centene's ACA marketplace brand sold through state subsidiaries. Payer ID, timely filing, addresses, and phones all vary by state plan.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Stop chasing Ambetter Health denials and TFLs
Aethera's AR team works Ambetter Health every day — payer rules, appeals, and clean-claim submission, handled.
Get a Free Assessment