Provider Manual:

• 2018 Allwell Provider and Billing Manual

Provider Forms:

• Referral Fax Form
• Inpatient Authorization Form
• Outpatient Authorization Form
• Electroconvulsive Therapy (ECT) Authorization Request Form
  
• Inpatient Neuropsychological Testing Authorization Request Form
• Outpatient Psychological Testing Authorization Request Form
• Outpatient Treatment Request Form

Other Resources:

• QMB Balance Billing FAQs - information about balance billing qualified medicare beneficiaries

Training Resources

• Training & Education

Orientation References:

• Allwell Booklet Provider Guide
• Allwell Payspan (Electronic Funds Transfer)
• Allwell Prior Authorization Guide
• Allwell Secure Provider Portal
• Allwell Quick Reference Guide