Sunflower Health Plan Codes

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Provider Manuals, Forms and Resources Sunflower Health Plan

(6 days ago) WebLearn more about Sunflower Health Plan's Practice Improvement Resource Center (PIRC) which contains resources such as provider manuals, health forms, - Claims EX (Explanation) codes from the remittance advice to the CARC (Claims Adjustment …

https://www.sunflowerhealthplan.com/providers/resources/forms-resources.html

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Provider and Billing Manual - Ambetter from Sunflower …

(2 days ago) WebClaim Reconsiderations Related To Code Editing And Editing 58. CODE EDITING 59. CPT and HCPCS Coding 59 International Classification of Diseases (ICD-10) 60 Revenue …

https://ambetter.sunflowerhealthplan.com/content/dam/centene/sunflower/ambetter/pdfs/KS-2021AmbPrvdrManualV2.pdf

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Provider and Billing Manual - Sunflower Health Plan

(2 days ago) WebMay 19, 2022 5 . Overview 95 Quality Rating System 99 Provider Satisfaction Survey 101 Qualified Health Plan (QHP) Enrollee Survey ----- 101

https://ambetter.sunflowerhealthplan.com/content/dam/centene/sunflower/ambetter/pdfs/KS2022AmbProviderManual.pdf

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Kansas Health Insurance Plans Discover Sunflower …

(6 days ago) WebSunflower, a managed care organization established to deliver quality healthcare in the state of Kansas and a wholly owned subsidiary of the Centene Corporation (NYSE: CNC), the Centene Foundation and KU …

https://www.sunflowerhealthplan.com/

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Ambetter Provider Resource Guide - Sunflower Health Plan

(1 days ago) WebAmbetter from Sunflower Health Plan P.O. Box 5000 Farmington, MO 63640-5000 Refund of Payment Refund checks should be mailed to Ambetter Health Plan: For medical …

https://ambetter.sunflowerhealthplan.com/content/dam/centene/sunflower/ambetter/pdfs/ambetter-provider-resource-guide.pdf

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Manuals & Forms for Providers - Sunflower Health Plan

(2 days ago) WebManuals & Forms for Providers Ambetter from Sunflower Health Plan Provider Resources On April 22, 2024, UnitedHealth Group issued a press release , providing an update on …

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

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Pre-Auth Check Tool Ambetter from Sunflower Health Plan

(1 days ago) Web7 rows · All attempts are made to provide the most current information on the Pre-Auth Needed Tool. A prior authorization is not a guarantee of payment. Payment may be …

https://ambetter.sunflowerhealthplan.com/provider-resources/manuals-and-forms/pre-auth.html

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Kansas Medicaid Benefits from Sunflower Health Plan Learn More

(3 days ago) WebAs part of your Kansas Medicaid benefits and coverage, Sunflower Health Plan can help you find a provider, find local resources, plan an appointment and find transportation. …

https://www.sunflowerhealthplan.com/members/medicaid/benefits-services/benefits-overview.html

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Provider and Billing Manual - Sunflower Health Plan

(1 days ago) WebProvider and Billing Manual 2019 Ambetter.SunflowerHealthPlan.com AMBPROV18-KS-C-00002. Ambetter from Sunflower Health Plan is underwritten by Sunflower State …

https://ambetter.sunflowerhealthplan.com/content/dam/centene/sunflower/ambetter/pdfs/KS-2019-ProviderManual.pdf

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Managed Care Organization & Fee-For-Service Billing Code

(8 days ago) WebSunflower Health Plan (Billing code effective 1/1/2024) (ESI - PBM) N/A: 003858: MA: 2ELA: United Healthcare Community Plan of Kansas (Optum Rx - PBM) N/A: 610494: …

https://www.kdhe.ks.gov/205/Managed-Care-Organization-Fee-For-Servic

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Frequently Asked Questions Provider Resources Sunflower …

(8 days ago) WebSunflower Health Plan is a Medicaid Managed Care Organization (MCO) that serves the health needs of Kansans. Sunflower has been contracted with the Kansas Department …

https://www-es.sunflowerhealthplan.com/providers/resources/faqs.html

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2022 KanCare Claims State Contract Review Sunflower Health …

(5 days ago) WebSunflower Health Plan 1 CONTRACT REQUIREMENTS INCLUDED IN REVIEW Contract Section RFP Requirement Contract Requirement Attachment I - …

https://www.kancare.ks.gov/docs/default-source/quality-measurement/quality-management-strategy-and-encounter-audits/encounter-data-audits-2022/kc-state-contract-review-document---2022---kdhe-response---sunflower-health-plan.pdf?sfvrsn=9240531b_2

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INFORMATION FOR ALL PROVIDERS MANAGED CARE …

(8 days ago) WebPlan Code Plan ID # PCP Provider Name Telephone Number Plan Type 82 00477156 Affinity Health Plan, Inc. (800) 553-8247 Mainstream 92 00894519 Metroplus Health …

https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/docs/managed_care_information_for_all_providers.pdf

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Corrected Claims - Quick Reference Guide Sunflower Health Plan

(Just Now) WebSubmit corrected claims to Sunflower Health Plan using the values specified for the fields below: CMS 1500 / Professional Claims: Box 22. Medicaid Resubmission Code = 7 for …

https://www-es.sunflowerhealthplan.com/providers/resources/forms-resources/corrected-claims-qrg.html

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Horizon Blue Cross Blue Shield of New Jersey 2017 Managed …

(4 days ago) WebIf you have questions about enrollment, benefits or claims, visit NaviNet.net or call 1-800-624-1110 to use our Interactive Voice Response system, available 24 hours a day, …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Managed_Care_Benefits_at_a_Glance_Reference_Guide.pdf

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Reinstatement of Coverage of Radiation Therapy - Sunflower …

(7 days ago) WebSHPBN-2017-001 Reinstatement of Coverage of Radiation Therapy G Codes. Fecha: 03/01/17 . Effective with date of processing on February 1, 2017, and retroactive to date …

https://www-es.sunflowerhealthplan.com/newsroom/shpbn-2017-001.html

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Information for All Providers - Third Party - eMedNY

(9 days ago) WebFor Medicaid Prepaid Capitation Plans only, the two-digit plan code and up to 20 alphabetic coverage codes, or the word “ALL” indicating what services are covered, is displayed. …

https://www.emedny.org/ProviderManuals/AllProviders/PDFS/Information_for_All_Providers-Third_Party-2008-4.pdf

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Health Insurance Plans in North Bergen, NJ Wirefly

(5 days ago) WebThe least costly plans are usually designed to solely cover catastrophic events. A plan that costs more in premiums and deductibles will usually offer coverage for practically all …

https://www.wirefly.com/compare-insurance-rates-quotes/health-insurance/new-jersey/north-bergen

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A New Use for Wegovy Opens the Door to Medicare Coverage for …

(4 days ago) WebKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 …

https://www.kff.org/medicare/issue-brief/a-new-use-for-wegovy-opens-the-door-to-medicare-coverage-for-millions-of-people-with-obesity/

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Health insurance giant Kaiser will notify millions of a data breach

(5 days ago) WebThe health giant also filed a legally required notice with the U.S. government on April 12 but made public on Thursday confirming that 13.4 million residents had …

https://techcrunch.com/2024/04/25/kaiser-permanente-health-plan-millions-data-breach/

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