Ambetter Health

Health Provider Website: ambetterhealth.com
Accepted Health Plans: Federal Exchange

Does the diagnostic service require prior authorization?

MRI: YES*
CT Scans: YES*
PET: YES*
X-rays: NO
Polysonograms: YES*
Ultrasounds: NO
Physical Therapy: NO
Occupational Therapy: NO
Audio Evaluation: NO
Audio Evaluation: NO
Speech Evaluation: NO
Feeding and Swallowing Evaluation: NO


Authorizations for high-end imaging (MRI, CT, PET Scans) are issued by National Imaging Management (NIA). Please contact 1-800-214-2569 to obtain authorization.


Contact Us

The Authorization Unit can can contacted at 786-624-3022 as well as Managed Care at 305-669-5834 for further clarification.


Please note that some non-employed physicians and credentialed medical staff members of Nicklaus Children's Hospital may not accept all of the health plans listed above. Also note that participation in these plans is not a guarantee of payment or coverage.


This page was last updated on : 11/30/2021 3:28:17 AM.