Sunshine Health Timely Filing

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Florida Provider Resources Florida Medicaid Sunshine …

(5 days ago) WEBTimely Filing Guidelines. Initial Filing: 180 calendar days of the date of service Coordination of Benefits (Sunshine Health as Secondary); 180 calendar days of the date of service or 90 calendar days of the primary payer’s determination (whichever is later).

https://www.sunshinehealth.com/providers/resources.html

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Table of Contents - Sunshine Health

(9 days ago) WEBClaims will be rejected or denied if not submitted correctly. In general, Sunshine He alth follows CMS (Centers for Medicare & Medicaid Services) billing requirements. For …

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

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Effective as of - Sunshine Health

(9 days ago) WEBSunshine State Health Plan, Inc., hereafter referred to as Sunshine Health, is required by State and Federal regulations to capture specific data regarding services rendered to its …

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

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PROVIDER QUICK REFERENCE GUIDE - Sunshine Health

(2 days ago) WEBSunshine Health’s Payer ID is 68069. Claims Reconsiderations and Disputes: All requests for claims reconsideration or adjustment must be clearly marked as such and mailed …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/PROVIDER%20MANUAL%20MMA.pdf

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Provider and Billing Manual 2024 - Ambetter from Sunshine …

(5 days ago) WEBAmbetter from Sunshine Health includes EPO products that are underwritten by Celtic Insurance Company, Timely Filing 67\n . Refunds and Overpayments 67\n . Who …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2024-Ambetter-Provider-Manual.pdf

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LTC Claims Submission Provider Resources Sunshine …

(1 days ago) WEBThe filing limit may be extended for newborn claims, and where the eligibility has been retroactively received by Sunshine Health, up to a maximum of 365 days. When …

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) WEBTimely Filing ----- 55 Refunds and Overpayments Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687 …

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

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBTimely Filing ----- 31. October 14, 2016 2 . Who Can File Claims? ----- 31 If a practitioner/provider already participates with Sunshine Health in the Medicaid or a …

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

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBCMS 1500/837 Professional, and the UB04/837 facility claim forms. Sunshine Health’s Payer ID is 68069. Timely Filing Guidelines: Initial Filing – 180 calendar days from the …

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

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PROVIDER REQUEST FOR RECONSIDERATION AND CLAIM …

(8 days ago) WEBAmbetter from Sunshine Health Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640 -5010 . Ambetter from Sunshine Health Attn: Level II – Claim …

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

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AMBETTER- PROVIDER BILLING GUIDE 010515 - Coordinated …

(8 days ago) WEBThe Companion Guides for electronic billing are available on our websites. Paper submissions are subject to the same edits as electronic and web submissions. Ambetter …

https://ambetter.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/ambetter/PDFs/AMBETTER-PROVIDER-BILLING-GUIDE-010515.pdf

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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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Ambetter Timely Filing Limit - Initial Claims, Reconsideration, Appeal

(4 days ago) WEBAmbetter Timely Filing Limit of :1) Initial Claims2) Reconsideration or Claim disputes/Appeals3) Coordination of Benefits. Ambetter from Absolute Total Care - South …

https://www.rcmguide.com/ambetter-timely-filing-limit/

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Provider and Billing Manual - Ambetter from Sunshine Health

(5 days ago) WEBTimely Filing ----- 36 Who Can File Claims? Ambetter from Sunshine Health 1301 International Parkway, Suite 400 Sunrise, FL 33323 . Phone Numbers Phone TTY/TDD . …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2019-ProviderManual.pdf

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Timely Filing for Claim Submission and Disputes Sunflower …

(4 days ago) WEBTimely Filing for Claim Submission and Disputes. Date: 01/31/24 . A Message for All Wellcare Providers. Please share with your claims billing and dispute …

https://www.sunflowerhealthplan.com/newsroom/shpbn-2024-004.html

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FLSMPLY-CR-RP-017213-22-CPN16502 Claims Timely Filing …

(1 days ago) WEBSimply Medicare Advantage follows the standard of: 90 days for participating providers and facilities. 12 months for nonparticipating providers and facilities. Timely filing is …

https://provider.simplyhealthcareplans.com/docs/gpp/FLFL_SMH_CARE_RP_ClaimsTimelyFiling.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBFor questions about Behavioral Health claim submissions, please call 1-800-682-9091. PRIOR AUTHORIZATION To confirm Horizon NJ Health’s receipt of a Prior …

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

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Filing a claim - Sun Life

(Just Now) WEBFiling a life claim. Frequently Asked Questions; If a person insured under a Sun Life Group Life insurance policy dies, a claim should be submitted using the Life Claim …

https://www.sunlife.com/us/Resources/Tools/foremployers/fileclaim.html

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBBeacon Health Options is a New Jersey Corporation licensed by the NJ Department of Banking & Insurance and is contracted by Horizon NJ Health to administer the Horizon …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Sunshine Adult Health Care Senior Center

(Just Now) WEBWe operate an adult day care facility that’s specifically designed to offer the therapeutic, diagnostic, preventative and rehabilitation dementia care services that vulnerable people …

https://www.sunshineadhcc.com/

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Provider and Billing Manual - Ambetter from Sunshine Health

(9 days ago) WEBHEALTH PLAN INFORMATION Ambetter from Sunshine Health Ambetter from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323 1-877-687-1169 Relay: …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2020AmbetterPrvdrManual.pdf

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