Ambetter Claim Form - Authorization to disclose health information form & revocation of authorization form. Web please submit this form and all documentation to: Join ambetter health show join. Web learn how to submit paper claims to ambetter from superior healthplan using the correct claim forms and format. Select your state show select your state.
Join ambetter health show join. Authorization to disclose health information form & revocation of authorization form. Web learn how to submit paper claims to ambetter from superior healthplan using the correct claim forms and format. Select your state show select your state. Web please submit this form and all documentation to: