How To Submit Claims To Ambetter Health of Florida,

For Ambetter Health of Florida,, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.

At a glance

• Claims may be submitted through the Secure Provider Portal, via clearinghouse/EDI, or by paper mail. The Florida quick reference guide lists EDI Payor ID 68069 and paper claims to P.O. Box 5010 in Farmington, MO. The 2026 manual also allows electronic submissions through Ambetter/Centene EDI and says paper claims must pass edits before acceptance. Corrected claims can be submitted through the portal, electronically via a clearinghouse, or on paper to the corrected claims address. Reconsiderations and claim disputes use the same PO Box 5010 address but different attention lines.

Submission channels

• Secure Provider Portal
• Electronic claims/encounter filing via Centene EDI / clearinghouse
• Paper claim submission

Electronic claims payer IDs

• 68069

Paper claims addresses

• Ambetter Health, Attn: Level I - Request for Reconsideration, PO Box 5010, Farmington, MO 63640-5010
• Ambetter Health, Attn: Level II - Claim Dispute, PO Box 5010, Farmington, MO 63640-5010
• Ambetter, Attn: Corrected Claims, P.O. Box 5010, Farmington, MO 63640-5010

Corrected claims and follow-up

• Submit corrected claims via the Secure Provider Portal and follow portal correction instructions

• Submit corrected claims electronically via a clearinghouse using CLM05-3=7 and the original claim number in REF*8 for both institutional and professional claims

• Submit corrected paper claims on standard red and white forms to Attn: Corrected Claims, PO Box 5010, Farmington, MO 63640-5010

• Include the original claim number in the specified claim form fields; handwritten corrected claims are upfront rejected

• Claims status resource 1

• Claims status resource 2

Caveats

• Paper claims for certain services requiring attachments, invoices, or medical records may be required.
• The manual states providers who bill electronically must monitor error reports and resubmit corrected claims within the same filing deadlines as paper claims.
• The portal and EDI references are provider-facing operational instructions; actual acceptance can depend on edits and claim type.

Provider resources

• Florida Provider Toolkit Quick Reference Guide (official)
• Florida Provider Toolkit: Prior Authorization Guide (official)
• Florida Secure Provider Portal (official)
• Florida Pre-Auth Tool (official)
• 2026 Florida Provider and Billing Manual (official)
• Florida Provider News: Prior Authorization Update (official)
• Florida Contact Us (official)

Sources