Sunshine Health Precert Tool

Listing Websites about Sunshine Health Precert Tool

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Florida Medicaid Pre-Authorization Sunshine Health

(9 days ago) webOur Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line …

https://www.sunshinehealth.com/providers/preauth-check.html

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Provider Toolkit Prior Authorization Guide - Ambetter from …

(9 days ago) webLearn how to use the Pre-Auth Needed Tool and submit prior authorization requests for services and procedures covered by Sunshine Health. Find out which services require …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-prior-authorization-guide.html

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Credentialing Sunshine Health

(7 days ago) webDuring the credentialing and re-credentialing process, Sunshine Health will obtain information from various sources to evaluate applications. Providers and practitioners …

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

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Prior Authorization Guide-Florida - Ambetter from Sunshine …

(8 days ago) webhttps://provider.sunshine . statehealth.com CALL 1-877-687-1169. FAX 1-855-678-6981 BEHAVIORAL HEALTH. 1-855-279-6165. Prior Authorization (PA) may be submitted by …

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

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How to Secure Prior Authorization - Ambetter from Sunshine …

(Just Now) webAfter normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned phone, fax, or web. Emergency …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/ProAMB91233PriorAutGuideFL.pdf

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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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Referral and Authorization Information Ambetter from Sunshine …

(9 days ago) webThe following are services that may require a referral from your PCP: Specialist services, including standing or ongoing referrals to a specific provider. Diagnostic tests (X-ray and …

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

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Precertification Lookup Tool - Simply Healthcare Plans

(3 days ago) webInpatient services and non-participating providers always require precertification. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all Non …

https://provider.simplyhealthcareplans.com/florida-provider/precertification-lookup

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Pre-Auth Check Tool Ambetter from Home State Health

(7 days ago) webOncology/supportive drugs for members age 18 and older need to be verified by New Century Health. Cardiac services need to be verified by TurningPoint. Musculoskeletal …

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

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Prior Authorization Tools Clover Health

(6 days ago) webFor sales/marketing complaints, contact Clover Health at 1-888-778-1478 (TTY 711) or 1-800-MEDICARE (if possible, please be able to provide the agent or …

https://www.cloverhealth.com/en/providers/pre-auth-tools

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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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Clover Quick Reference Guide - Clover Health

(7 days ago) webClover Health P.O Box 471 Jersey City, NJ 07303 For routine issues or operational items Clover Provider Tools Page DEPARTMENT PHONE FAX Provider Services 1-877 8-53 - …

https://cdn.cloverhealth.com/filer_public/95/a8/95a824e9-be84-4eff-92d6-decc1ee47737/6px027_provider_welcomekit_quickref_v2.pdf

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Horizon Blue Cross Blue Shield of New Jersey Points of Contact

(3 days ago) webHorizon Behavioral HealthSM Provider Relations, credentialing and contracting questions Authorizations, complaints, appeals and/or general inquiries eBusiness helpdesk 1-800 …

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

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