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  • 866 249 1271 Amerigroup

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Amerigroup Therapy Preauthorization Request Form Return by fax to 866-249-1271 Vendor Information Member Information Name: Name: Contact: ID Number: Amerigroup Number: Date of Birth: NPI + TPI Number:.

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Applicable Related content

Announcements/Newsletters - Nevada Medicaid...
During this scheduled maintenance window, the following Nevada Medicaid Provider Web...
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Reference functions
206, 20081231, 2008, AGP, AMERIGROUP CORP, 12, $1,964.965, 51.466, -$0.96 ... 249...
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Related links form

CA CASMR 20 2004 CA CC 0420A 2010 CA CD 4001B 2014 CA CD-9605 2004

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Contact support

Confidential voice mail is available 24 hours a day. Please call 1-888-830-4300 to reach one of our care managers. Your patients can get information about DM program services by visiting the Amerigroup member site or calling 1-888-830-4300.

800-600-4441 (TTY 711)

Medicaid Provider Re-enrollment For help re-enrolling, contact a TMHP provider enrollment representative at 1-800-925-9126, Option 2.

Your Payer Name is Amerigroup, and the Payer ID is 26375.

Amerigroup works with thousands of doctors, specialists, and hospitals throughout Texas, and we partner with many local community organizations. Our focus is to help you get the care and services you need to make a difference in your life.

Call us for assistance at 1-800-454-3730.

Call 1-877-782-6440 (TTY 711 or 1-800-735-2989), Monday through Friday 8 a.m. to 6 p.m. Central time.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232