Sunshine Health Claims Table

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Billing and Claims Sunshine Health

(7 days ago) WEBThe QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims processes and many …

https://www.sunshinehealth.com/claims

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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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General Quick Reference Guide for Providers - Sunshine Health

(2 days ago) WEBPrior-authorization requests are processed by Sunshine Health’s Utilization Management (UM) Providers must submit claims in a timely manner as indicated in the following …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/SH-PRO-PE-General%20QRG.pdf

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Portal for Members Login Sunshine Health

(7 days ago) WEBSunshine Health offers many convenient and secure tools to assist you. You also have access to your healthcare information. To enter our secure portal, click on the login …

https://www.sunshinehealth.com/login.html/.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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Provider and Billing Manual - Sunshine Health

(2 days ago) WEBThe following table includes several important telephone and fax numbers available to providers and their office staff. When calling, it is helpful to have the following …

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

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBCLAIMS----- 28 Verification Procedures ----- 29 Welcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of participating …

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

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Provider and Billing Manual - Sunshine Health

(9 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-es.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.pdf

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Florida Healthcare & Medicaid Plans Sunshine Health

(1 days ago) WEBSunshine Health is a Florida Medicaid health plan and a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core …

https://www.sunshinehealth.com/content/sunshine-new/en_us/about-us.html

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Provider Quick Reference Guide - Centene

(Just Now) WEBthe CMS 1500/837 Professional, and the UB04/837 facility claim forms. Sunshine Health’s Payer ID is 68069. Reconsiderations and Disputes All requests for claims …

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

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Member Handbook - 2020 – Ambetter from Sunshine Health

(8 days ago) WEBMember/Provider Services: Coverage. Medical Claims: 1-877-687-1169 Sunshine Health Relay FL: 1-800-955-8770 Attn: CLAIMS 24/7 Nurse Line: 1-877-687-1169 PO Box …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/CEN-16082-MemberHandbook-2020-FL_v3.pdf

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(6 days ago) 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

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Florida SMMC Information Center HHAeXchange

(9 days ago) WEBAs of December 1, 2018, Humana and Sunshine Health, Children’s Medical Services, Molina Healthcare (the “MCOs”) require providers to use HHAeXchange to submit …

https://www.hhaexchange.com/info-hub/florida-smmc

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FL - Member Reimbursement Medical Claim Form - Ambetter …

(9 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.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-MbrReimbursMedicalClaim.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 CMS 1500/837 …

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

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SUNSHINE STATE HEALTH PLAN, INC. POLICY AND …

(8 days ago) WEBThe Provider Services Representative (PSR) determines if the request is an informal claims adjustment/claim complaint or provider complaint. If it is a complaint the PSR will refer …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/LT-PRVR-03-Provider-Services-and-Complaints.pdf

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Provider and Billing Manual - Florida - Ambetter from …

(5 days ago) WEB277CA Health Care Claim Acknowledgement Data Element Table----- 115. November 29, 2015 6 WELCOME Welcome to Ambetter from Sunshine Health (“Ambetter”). …

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

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Sunshine State Health Plan - Individual Member HMO Contract

(5 days ago) WEBAmbetter from Sunshine Health. Home Office: 1301 International Parkway Sunrise, FL 33323. Individual Member HMO Contract. In this contract, "you", "your", “yours” or …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/86382FL001v3.pdf

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