Medicalpolicy.simplyhealthcareplans.com

Simply Healthcare Plans Providers

WEBTo determine if pharmacy benefits are payable by Simply Healthcare Plans, Inc., please confirm the requested services are a covered benefit. Questions about members’ …

Actived: 9 days ago

URL: https://medicalpolicy.simplyhealthcareplans.com/florida-provider/home

Precertification Lookup Tool

WEBThis tool is for outpatient services only. Inpatient services and non-participating providers always require precertification. This tool does not reflect benefits coverage* nor does it …

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Web precertification status and appeals tutorial

WEB1. Choose Select a Provider and select the appropriate provider ID. 2. Enter the appeals submission date range in the Start Date and End Date fields. Use date format …

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Member Eligibility and Pharmacy

WEBMember eligibility, panel listings and member reports. Providers can access real-time member eligibility information, member reports and panel listings from the Availity Portal. …

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Join Our Network

WEBWe’ll be happy to talk with you about joining our Simply network. To inquire about participating, please send a letter of interest to: Attn: Provider Relations. Simply …

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Resource guide for Simply Healthcare Plans, Inc.

WEBPhone number: 844-215-4264. Hours of operation during non-holidays: Monday through Friday from 8:30 a.m. to 7 p.m., and Saturdays 8:30 a.m. to 5:30 p.m. Contact after …

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Pregnancy notification process using the Benefit Look-Up Tool

WEBSimply Healthcare Plans, Inc. Clear Health Alliance Pregnancy notification process using the Benefit Look-Up Tool Page 2 of 3 44 years of age, the system will then display a …

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Reimbursement Policy

WEB07/13/2022 Policy review approved and effective 07/13/2022: Policy language updated (planned readmission/LOA language added), definition section updated to

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Provider Services: https://provider.simplyhealthcareplans.com …

WEBPage 2 of 17 Medicaid Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Medicaid contract. Provider Services: 1-844-405-4296 …

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Simply Healthcare Plans, Inc. and Lighthouse Health Plan: …

WEBPaper claims. Simply Healthcare Plans, Inc. P.O. Box 61010 Virginia Beach, VA 23466-1010. Electronic claims. https://www.availity.com. Payer ID: SMPLY. Claims for a date of …

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Prior authorization and limits on services

WEBMedicaid Managed Care Provider Bulletin March 2020 * IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Simply …

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Taking Care of Baby and Me

WEBWant more information about our obstetrics case management program? Call your Provider Services representative. Meeting our members’ special needs

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Precertification form notification

WEBMedicare Advantage Provider Bulletin July 2021 Simply Healthcare Plans, Inc. is a Medicare contracted coordinated care plan that has a Medicaid contract with the State of …

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December 2021 Provider Newsletter

WEBPage 2 of 16 Simply Healthcare Plans, Inc. | Medicaid, Florida Healthy Kids and Medicare Advantage Clear Health Alliance | Medicaid COVID-19 information

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Request for Authorization: Psychological Testing

WEBMedicaid Managed Care Florida Healthy Kids Medicare Advantage Request for Authorization: Psychological Testing * Availity, LLC is an independent company …

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