Sunshine Health Credentialing

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Sunshine Health Medicaid Provider Application Sunshine Health

(3 days ago) WEBLOAP/Practitioner Roster Form (Excel). Additions only. Please do not submit a full roster. Disclosure of Ownership Form (PDF) Disclosure of Ownership Form (PDF) - facilities. …

https://www.sunshinehealth.com/providers/become-a-provider.html

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Delegated Credentialing Sunshine Health

(7 days ago) WEBThe Delegation Process. The following documents must be completed by the provider with signature dates within 30 days of submission: A letter of intention (LOI) to delegate …

https://www.sunshinehealth.com/providers/become-a-provider/delegated-credentialing.html

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Change in FQHC Credentialing Process Sunshine Health

(3 days ago) WEBDate: 01/03/24. Fort Lauderdale, Florida. Sunshine Health is implementing a change in our credentialing process, specifically affecting our FQHC provider network. This …

https://www.sunshinehealth.com/newsroom/fqhc-credentialing.html

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Become An Ambetter Provider in Florida - Ambetter from …

(6 days ago) WEBIf you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-877-687-1169. Thank you for …

https://ambetter.sunshinehealth.com/provider-resources/join-our-network.html

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Facility & Ancillary Application - Sunshine Health

(7 days ago) WEBRequests for primary source verification documentation must be submitted in writing directly to Sunshine Health, Attn: Credentialing Department P.O. BOX 459089, Ft Lauderdale …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/SH-PRO-PE-Ancillary-Facility.pdf

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Providing Quality Care - Ambetter from Sunshine Health

(2 days ago) WEBAs our valued provider, your ability to serve our members is important. Ambetter from Sunshine Health is here with information to help you provide the very best care. This …

https://ambetter.sunshinehealth.com/provider-resources/providing-quality-care.html

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Provider Quick Reference Guide - Centene

(Just Now) WEBQuestions about claim/credentialing/network status Request for adding physicians to an existing group Request a free copy of our Provider Manual HEDIS Measures: e Health …

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

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Ambetter Provider Network Information - Ambetter from Sunshine …

(Just Now) WEBAmbetter Health contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms. We regularly review the …

https://ambetter.sunshinehealth.com/find-a-provider/provider-network-design.html

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Provider Resources - Ambetter from Sunshine Health

(7 days ago) WEBIf you need help, call Provider Services at 1-877-687-1169 (Relay Florida 1-800-955-8770) Monday through Friday from 8 a.m. to 8 p.m. Eastern. Stay up to date on Ambetter from …

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

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Your Credentialing Rights - Centene

(3 days ago) WEBallow for sunshine health to make timely medical necessity decisions based on complete information. Your Credentialing Rights During the credentialing and recredentialing …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/FLC_Wi14-WEB-Final.pdf

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

(1 days ago) WEBSunshine Health - Long Term Care is a managed care organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve …

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

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Contact Us Sunshine Health

(6 days ago) WEBAmbetter: 1-833-750-1160. For questions on the formulary or a drug that is provided through a retail pharmacy or specialty pharmacy call. Ambetter, Medicaid, Serious …

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

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Health Insurance Resources for Providers - Ambetter from …

(9 days ago) WEBHealthy partnerships are our specialty. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. You’re dedicated to …

https://ambetter.sunshinehealth.com/provider-resources.html

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Provider and Billing Manual - Sunshine Health

(2 days ago) WEBEnter the appropriate Type of Bill (TOB) Code as specified by the NUBC UB-04 Uniform Billing Manual minus the leading “0” (zero). A leading “0” is not needed. Digits should be …

https://ambetter-es.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2021AmbetterPrvdrManual.pdf

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WELCOME TO SUNSHINE HEALTH! - Centene

(3 days ago) WEBSunshine Health’s providers, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770), Monday through Friday, 8:00 A.M. through 8:00 P.M., Eastern Standard Time, or …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/LTC-Reg4.pdf

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Overview of Billing Guidelines for Early Intervention Services …

(4 days ago) WEBTo file a dispute, a provider can: Call 1-844-477-8313 or Send a written dispute using the Sunshine Health Provider Claim Dispute Request Form to: Sunshine Health PO Box …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2018/12/Overview-EIS-TCM-billing-guidelines-11-29-18.pdf

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBThe only entity that Sunshine Health delegates grievance and appeals to is Cenpatico. All other vendors must send complaints, grievances, and appeals pursuant to the process …

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

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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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WELCOME TO SUNSHINE HEALTH! - Centene

(3 days ago) WEBSunshine Health’s providers, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770), Monday through Friday, 8:00 A.M. through 8:00 P.M., Eastern Standard Time, or …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/LTC-Reg8.pdf

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How to Enroll Long-Term Care Sunshine Health Long-term …

(Just Now) WEBSunshine Health holds abbreviated with to Florida Agency for Healthiness Care Administration (AHCA) to serving Medicaid, Long-Term Care, and other program …

https://ltt.org/long-term-care-provider-enrollment

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