NEED HEALTH INSURANCE? SHOP OUR PLANS.External Link
Provider Resources
Provider Resources
Ambetter Health provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2025 Provider and Billing Manual (PDF)
- 2024 Provider and Billing Manual (PDF)
- Quick Reference Guide (PDF)
- Pharmacy Guide (PDF)
- Claims, Disputes & Recovery/CCU Guide (PDF)
- Appeals/Reconsiderations (Medical) And Grievances Guide (PDF)
Forms
- Non-Formulary And Step Therapy Exception Request Form (PDF)
- Notification of Pregnancy Form (PDF)
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
Quality
- Providing Quality Care
- 2025 Program Booklet Pay for Performance (P4P) and Partnership for Quality Programs (P4Q) (PDF)
- HEDIS® Pediatric Pocket Guide: 2025 Measurement Year (PDF)
- HEDIS® Adult Pocket Guide: 2025 Measurement Year (PDF)
Other
Provider Trainings
Thank you for choosing to participate with Delaware First Health! We share your commitment to keeping your patients healthy. We will host New Provider Orientation training webinars to thoroughly onboard you as a participating provider in our network. Below, please find a list of training dates through the end of the second quarter of 2025.
January
Date: Thursday, January 23, 2025
Time: 10:00 AM – 11:00 AM Eastern
Dial-In number: available after registration
Meeting ID: 955 4767 5665
Passcode: 896292
Meeting URL: NPO Registration LinkExternal Link
February
Date: Wednesday, February 19, 2025
Time: 2:00 PM – 3:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 923 7751 0036
Passcode: 156006
Meeting URL: NPO Registration LinkExternal Link
March
Date: Tuesday, March 04, 2025
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Meeting ID: 973 0548 3130
Passcode: 654928
Meeting URL: NPO Registration LinkExternal Link
April
Date: Wednesday, April 16, 2025
Time: 2:00 PM – 3:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 921 3474 7049
Passcode: 136921
Meeting URL: NPO Registration LinkExternal Link
Visit our website https://www.delawarefirsthealth.com/providers.htmlExternal Link for additional information.
Thank you for choosing to participate with Delaware First Health! We share your commitment to keeping your patients healthy. We will host New Provider Orientation training webinars to thoroughly onboard you as a participating provider in our network. Below, please find a list of training dates through the end of the thrid quarter of 2025.
May
Date: Thursday, May 01, 2025
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Meeting ID: 930 5817 2752
Passcode: 168466
Meeting URL: NPO Registration LinkExternal Link
June
Date: Tuesday, June 17, 2025
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 927 5270 5599
Passcode: 276962
Meeting URL: NPO Registration LinkExternal Link
July
Date: Wednesday, July 02, 2025
Time: 10:00 AM – 11:00 AM Eastern
Dial-In Number: available after registration
Meeting ID: 929 4186 9413
Passcode: 908516
Meeting URL: NPO Registration LinkExternal Link
August
Date: Wednesday, August 27, 2025
Time: 3:00 PM – 4:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 927 5270 5599
Passcode: 276962
Meeting URL: NPO Registration LinkExternal Link
Visit our website https://www.delawarefirsthealth.com/providers.htmlExternal Link for additional information.
Thank you for choosing to participate with Delaware First Health! We share your commitment to keeping your patients healthy. We will host New Provider Orientation training webinars to thoroughly onboard you as a participating provider in our network. Below, please find a list of training dates through the end of the fourth quarter of 2025.
September
Date: Tuesday, September 02, 2025
Time: 11:00 AM – 12:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 953 3039 9405
Passcode: 315058
Meeting URL: NPO Registration LinkExternal Link
October
Date: Wednesday, October 29, 2025
Time: 1:00 PM – 2:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 960 6899 5887
Passcode: 484834
Meeting URL: NPO Registration LinkExternal Link
November
Date: Monday, November 17, 2025
Time: 01:00 PM – 02:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 999 5314 8220
Passcode: 937849
Meeting URL: NPO Registration LinkExternal Link
December
Date: Monday, December 29, 2025
Time: 03:00 PM – 04:00 PM Eastern
Dial-In Number: available after registration
Meeting ID: 989 1344 0739
Passcode: 770144
Meeting URL: NPO Registration LinkExternal Link
Visit our website https://www.delawarefirsthealth.com/providers.htmlExternal Link for additional information.
- Jan 15, 2025 01:30 PM- 3:00PM ET: Pay Span Webinar Training LinkExternal Link
- Feb 19, 2025 01:30 PM- 3:00PM ET: Pay Span Webinar Training LinkExternal Link
- Mar 19, 2025 01:30 PM- 3:00PM ET: Pay Span Webinar Training LinkExternal Link
- Apr 16, 2025 01:30 PM- 3:00PM ET: Pay Span Webinar Training LinkExternal Link
- May 21, 2025 01:30 PM- 3:00PM ET: Pay Span Webinar Training LinkExternal Link
| Date & TIme | Meeting Links & Codes |
|---|---|
Wednesday, Jan 15, 2025 Time: 3:00PM - 4:30PM EST | Webinar ID: 930 6388 4938 Passcode: 950122 Registration Link: Portal Registration LinkExternal Link |
Wednesday, Feb 12, 2025 Time: 10:00AM - 11:30AM EST | Webinar ID: 946 7025 4047 Passcode: 177183 Registration Link: Portal Registration LinkExternal Link |
Wednesday, Mar 19, 2025 Time: 1:00PM - 2:30PM EST | Webinar ID: 981 8949 7010 Passcode: 556820 Registration Link: Portal Registration Link External Link |
Tuesday, Apr 15, 2025 Time: 9:00AM - 10:30AM EST | Webinar ID: 993 3793 8189 Passcode: 377159 Registration Link: Portal Registration LinkExternal Link |
Thursday, May 22, 2025 Time: 2:00PM - 3:30PM EST | Webinar ID: 974 7606 7858 Passcode: 486467 Registration Link: Portal Registration LinkExternal Link |
Wednesday, June 11, 2025 Time: 1:00PM - 2:30PM EST | Webinar ID: 986 4601 4240 Passcode: 302349 Registration Link: Portal Registration LinkExternal Link |
Wednesday, July 16, 2025 Time: 1:00PM - 2:30PM EST | Webinar ID: 973 3286 8426 Passcode: 294719 Registration Link: Portal Registration LinkExternal Link |
Thursday, Aug 14, 2025 Time: 11:00AM - 12:30PM EST | Webinar ID: 942 5368 3694 Passcode: 931334 Registration Link: Portal Registration LinkExternal Link |
Tuesday, Sept 16, 2025 Time: 9:00AM - 10:30AM EST | Webinar ID: 982 6528 9141 Passcode: 763672 Registration Link: Portal Registration LinkExternal Link |
Wednesday, Oct 8, 2025 Time: 3:00PM - 4:30PM EST | Webinar ID: 975 0690 5153 Passcode: 293503 Registration Link: Portal Registration LinkExternal Link |
Wednesday, Nov 5, 2025 Time: 10:00AM - 11:30AM EST | Webinar ID: 952 8094 0798 Passcode: 718845 Registration Link: Portal Registration LinkExternal Link |
Wednesday, Dec 10, 2025 Time: 2:00PM - 3:30PM EST | Webinar ID: 910 0444 0055 Passcode: 613724 Registration Link: Portal Registration LinkExternal Link |
Coming soon.
Beginning Oct. 21, you can validate eligibility and benefits, submit claims, check claim status, submit authorizations, and access all Delaware First Health, Ambetter of DE and Wellcare payer resources via Availity Essentials.
Availity experts are hosting several live webinar sessions to help you get ready. This is a look ahead at what tools and functionality are coming, paired with live training to learn more. Space is limited, save your seat today!
- Availity Essentials Introduction
- Monday, Oct. 21 – 1 p.m. EST
- Tuesday, Oct. 29 – 10:30 a.m. EST
- Authorization Tools
- Tuesday, Oct. 22 – 1 p.m. EST
- Monday, Oct. 28 – 12 p.m. EST
- Claim Submission
- Wednesday, Oct. 23 – 12 p.m. EST
- Wednesday, Oct. 30 – 11 a.m. EST
- Claim Follow-up Tools
- Thursday, Oct. 24 – 12:30 p.m. EST
- Thursday, Oct. 31 – 3 p.m. EST
- Risk & Quality Applications
- Wednesday, Oct. 23 – 1:30 p.m. EST
- Friday, Nov. 1 – 11 a.m. EST
Please Note: You must be logged into your Availity Essentials account to register and attend live training. To register for an Essentials account, visit Register and Get Started with Availity EssentialsExternal Link
Enrolling for a provider webinar in the Availity Learning Center (ALC)
- Log in to Availity Essentials.
- Select Help & Training > Get Trained.
- ALC opens in a new browser tab. If it does not, have the user check their browser settings to allow for pop-ups and redirects from apps.availity.comExternal Link and availitylearning.learnupon.comExternal Link.
- Select the Sessions tab.
- Select the View Course button next to the webinar.
- Select the Enroll button.