Provider Forms

Everything you need in one place.

Provider Forms

Get the forms and resources you need for things like LIN access, Prior Authorization and more. You can easily find and download what you need to make sure your account stays up to date.

Provider Portal New User Registration Form

Use this form to get access to the ABS Provider Portal.

Download

Provider Portal Add or Terminate User Access Form

Use this form to update, add or remove access rights to the ABS Provider Portal.

Download

PHI Release / Designation of Person Form

Complete the form to allow your provider or other party to release your health information.

Download

Provider Prior Authorization Form

For providers to submit prior authorization requests, provide clinical information, and receive determination outcomes electronically.

Download

Contact Us

We’re here to answer your questions or get your the information you need. Contact us using the number found on the back of your ID card.

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