Sunshine Health Claims Address For Fl

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Table of Contents - Sunshine Health

(8 days ago) People also askHow do I contact Sunshine health provider services?For questions regarding billing requirements, contact Sunshine Health Provider Services at 1-844-477-8313. If billing a professional submission with services spanning before and after Oct. 1, 2021, please split the services into two separate claim submissions as outlined below.Table of Contents - Sunshine Healthsunshinehealth.comDoes Sunshine Health have a Medicaid provider number?Snacks as desired. Maintain personal sleeping schedule. Sunshine Health requires each provider to have a unique Florida Medicaid provider number. Sunshine Health requires each provider to have a National Provider Identifier (NPI) in accordance with s. 1173(b) of the Social Security Act, as enacted by s. 4707(a) of the Balanced Budget Act of 1997.Health Provider Manual UPDATED 072513 - www-fl.centene.comwww-fl.centene.comDoes Sunshine health supply claim forms?Sunshine Health does not supply claim forms to providers. Providers should purchase these from a supplier of their choice. It is preferred that all paper claim forms be typed or printed and in the original red and white version to ensure clean acceptance and processing.Table of Contents - Sunshine Healthsunshinehealth.comHow do I contact Sunshine Health Quality Improvement Department?If you have any questions, comments, or concerns related to the annual HEDIS project or the medical record reviews, please contact Sunshine Health Quality Improvement Department at 1-866-796-0530. This is a Enrollee satisfaction survey that is included as a part of HEDIS and NCQA accreditation.Health Provider Manual UPDATED 072513 - www-fl.centene.comwww-fl.centene.comDo I need to include the original Sunshine health claim number?For Institutional claims, provider must include the original Sunshine Health claim number and bill frequency code per industry standards. For Professional claims, provider must include the original Sunshine Health claim number and bill frequency code per industry standards.Table of Contents - Sunshine Healthsunshinehealth.comHow do I verify a claim with Sunshine Health?All claims filed with Sunshine Health are subject to verification procedures. These include but are not limited to verification of the following: All required fields are completed on the current industry standard CMS 1500 (HCFA), CMS 1450 (UB-04) paper claim form, or EDI electronic claim format.Table of Contents - Sunshine Healthsunshinehealth.comFeedbackSunshine Healthhttps://www.sunshinehealth.com/newsroom/GuidelinesGuidelines for proper claims submissions Sunshine HealthSunshine Health will also operate the Department of Health’s Children's Medical Services Health Plan beginning Oct. 1, 2021. Mailing Address. Claim Payment Disputes (related to untimely filing Claim Payment Disputes P.O. Box 31370 Tampa, FL 33631-3370 Claim Payment Disputes (related to untimely filing, … See more

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Provider-Billing-Manual-010219.pdf#:~:text=Attn%3A%20Claims%20Department%20P.O.,Box%2031372%20Tampa%2C%20FL%2C%2033631-3372

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Billing and Claims Sunshine Health

(Just Now) WebBehavioral Health; Billing and Claims; Contact Us; Eligibility Verification; Login; Pharmacy; Pre-Auth Check; Provider News; Sunshine Health is a managed care plan with a …

https://www.sunshinehealth.com/providers/Billing-manual.html

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Contact Us Florida Medicaid Sunshine Health

(6 days ago) WebPlease fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry. If …

https://www.sunshinehealth.com/contact-us.html

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Table of Contents - Sunshine Health

(9 days ago) WebPROCEDURES FOR CLAIM SUBMISSION Sunshine State Health Plan, Inc., hereafter referred to as Sunshine Health, is required by state Medicaid Services) billing …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Provider-Billing-Manual-010219.pdf

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LTC Claims Submission Provider Resources Sunshine …

(1 days ago) WebSunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today.

https://www.sunshinehealth.com/providers/resources/electronic-transactions/ltc-claims-submission.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WebAmbetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687-1169 (Relay Florida 1-800 …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.pdf

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Florida Medicaid & Health Insurance Sunshine Health

(2 days ago) WebDiscover job opportunities with Sunshine Health Works. We urge all providers to utilize the prior authorization form alongside the dedicated fax line for DME/HHC …

https://www.sunshinehealth.com/.

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Contact Ambetter In Florida Ambetter from Sunshine Health

(1 days ago) WebYou can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). There are many ways to get in touch with us, and resources available on our …

https://ambetter.sunshinehealth.com/contact-us.html

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Provider Quick Reference Guide - Centene

(Just Now) WebContact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or contractually reports rates to the State of Florida based …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/Provider-Quick-Reference-Guide-PDF1.pdf

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Contact Us Allwell from Sunshine Health - Wellcare

(1 days ago) WebSunshine Health; Language Assistance. A A A. Search. Enter Keyword Search. Mailing Address: Wellcare By Allwell PO Box 459089 Fort Lauderdale, FL 33345-9089. Member …

https://wellcare.sunshinehealth.com/contact-us.html

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FL - Member Reimbursement Medical Claim Form - Ambetter …

(9 days ago) Web4. Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-MbrReimbursMedicalClaim.pdf

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(Just Now) Web4. Reimbursement will be sent tothe Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Healthhas on record (To view your address of record, …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL%20Reimbursement-Form.pdf.pdf

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WebWelcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of Ambetter will be offered to consumers through the Health Insurance …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/PRO-AMB-FL-ProviderManual.pdf

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Contact Us Sunshine Health

(6 days ago) WebTo contact a Provider Services representative, call 1-844-477-8313. For questions on medical or behavioral health authorizations, call 1-844-477-8313. For pharmacy …

https://www.sunshinehealth.com/providers/contact-us.html

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Health Provider Manual UPDATED 072513 - www-fl.centene.com

(1 days ago) WebSUBMIT APPEALS TO: SUBMIT PAPER CLAIMS TO: SUNSHINE HEALTH SUNSHINE HEALTH TANGO PLAN . Attn: Appeals and Grievance Coordinator Attn: …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/SUN_LTC%20Provider%20Manual_20170605.pdf

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Florida Cenpatico

(3 days ago) WebProviders needing personal assistance can call Sunshine Health: Medicaid/Healthy Kids: 866-796-0530. Child Welfare: 855-463-4100. Ambetter: 877-687-1169. Medicare: 877 …

https://www.cenpatico.com/providers/fl.html

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Florida State Medicaid Managed Care - Contact Us

(6 days ago) WebContact Us. Have questions? We can help. Choice Counselors are available at 1-877-711-3662 to answer your questions M-TH 8am-8pm, F 8am-7pm. Agency for Health Care …

https://flmedicaidmanagedcare.com/home/contact

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Grievance and Appeals Forms Ambetter from Sunshine Health

(5 days ago) WebAmbetter from Sunshine Health Attn: Claim Disputes PO Box 5000 Farmington, MO 63640-5000 Mailing Address. The mailing address for non-claim related Member …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/grievance-appeals.html

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(8 days ago) WebReimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of …

https://ambetter-es.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL%20Member%20Reimbursement%20Medical%20Claim%20Form.pdf

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) Webcontact our EDI Department at 800-225-2573, ext. 25525 or visit our website at SunshineHealth.com. The website contains our electronic Billing Manual, which offers …

https://physicianscarenetwork.org/images/stories/NEW_Sunshine-quick_reference.pdf

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WellCare and Sunshine Health are joining health plans Wellcare

(1 days ago) WebIn Florida, WellCare Health Plans and Sunshine Health are bringing our health plans together to better serve our members, providers, partners and communities. …

https://www.wellcare.com/Florida/Providers/Bulletins/WellCare-and-Sunshine-Health

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Sunshine Health Works Sunshine Health

(6 days ago) WebFort Lauderdale, Florida. The Sunshine Health Works program pioneers a transformative approach to combat healthcare labor shortages across Florida. By …

https://www.sunshinehealth.com/newsroom/sunshine-health-works.html

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Affordable Health Insurance in Florida Ambetter from Sunshine …

(6 days ago) WebGov. Ron DeSantis has issued a state of emergency for the following counties: Baker, Columbia, Escambia, Gadsden, Hamilton, Jefferson, Lafayette, Leon, Liberty, Madison, …

https://ambetter.sunshinehealth.com/

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