Sunshine Health Dme Guidelines

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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 fax 866-614-4955 for assistance with the following …

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

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Clinical & Payment Policies - Ambetter from Sunshine …

(5 days ago) WebClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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Referral and Authorization Information - Ambetter from …

(9 days ago) WebPrior authorization means that we have pre-approved a medical service. To see if a service requires authorization, check with your Primary Care Provider (PCP), the ordering …

https://ambetter.sunshinehealth.com/resources/handbooks-forms/referral-authorization.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WebHEALTH PLAN INFORMATION. Ambetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877 …

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

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Provider Resources - Ambetter from Sunshine Health

(7 days ago) WebCall Provider Services For Help. If 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. …

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

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Medicare Eligibility Requirements Ambetter from Sunshine Health

(8 days ago) WebSunshine Health is an HMO with a Medicare contract. Enrollment in Sunshine Health depends on contract renewal. Y0020_16005WEB_BIL_C_2020 01152020. Company. …

https://ambetter.sunshinehealth.com/medicare-eligible.html

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Provider and Billing Manual - Florida - Ambetter from …

(5 days ago) WebPractice Guidelines ----- 66 Sunshine Health 1301 International Parkway, Suite 400 Sunrise, FL 33323 . Phone Numbers If a practitioner/provider already participates with …

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

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Subject: - Ambetter from Sunshine Health

(3 days ago) WebPhysical Therapy. Therapy for the preservation, enhancement or restoration of movement and physical function impaired or threatened by disease, injury or disability. Physical …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/policies/payment-policies/CC.PP.068%20-%20Multiple%20Procedure%20Payment%20Reduction%20(MPPR)%20for%20Therapeutic%20Services.pdf

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Durable Medical Equipment (DME) and Medical Supplies

(3 days ago) WebMedicaid reimburses for durable medical equipment (DME) and medical supplies appropriate for use in the recipient’s home. DME may be rented, purchased or rented-to …

https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/specialized-health-services/durable-medical-equipment-dme-and-medical-supplies

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WebDurable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients: Updated Fee Schedule [ 722.3 kB ] 2024 Updated XLS [ 134.6 kB ] …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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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 Sunshine Health …

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

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Florida Medicaid - The Agency for Health Care Administration

(3 days ago) WebFlorida Medicaid specialized durable medical equipment and medical supply (DME) services provide medically necessary devices and items that are unique from other DME …

https://ahca.myflorida.com/content/download/23763/file/59G-4.072%20Durable%20Medical%20%20Equipment%20and%20Medical%20Supply%20Services%20Specialized.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebWith the exception of Medicare, Horizon NJ Health’s notification policies that are routinely applied and required must be followed for any claims to be considered for payment. …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Durable Medical Equipment - Edison Pharmacy

(Just Now) WebHealth News; Contact; Refill New Patient Durable Medical Equipment (DME) Our pharmacy offers an extensive variety of medical equipment and supplies. Ask our staff about our …

https://www.edisonpharmacy.net/durable-medical-equipment-dme

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WebMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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