Sunshine Health Provider Authorization Lookup

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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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Sunshine Health Provider Portal & Resources Sunshine Health

(5 days ago) WEBUnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as …

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

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Florida Medicaid Pre-Auth Form Sunshine Health

(7 days ago) WEBHome Health (Infusion) services need to be verified by Sunshine Health. DME/home infusion form (PDF) MMA, SMI, and Child Welfare Therapy requests (PT, OT, ST) at …

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

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Prior Authorization - Sunshine Health

(2 days ago) WEBThe number is 1-866-796-0530. Some covered services require a prior authorization from Sunshine Health before the service is provided. The list of services that need a prior …

https://www.sunshinehealth.com/members/medicaid/resources/Prior-Authorization.html

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Contact Us Sunshine Health

(6 days ago) WEBFor questions on the formulary or a drug that is provided through a retail pharmacy or specialty pharmacy call. Ambetter, Medicaid, Serious Mental Illness and Child Welfare: 1 …

https://www.sunshinehealth.com/providers/contact-us.html

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Pre-Auth Tool Ambetter from Sunshine Health

(6 days ago) WEBThe following services (identifiable by procedure code search) need to be verified by Evolent: Cardiac Imaging, Complex Imaging, MRA, MRI, PET, and CT scans; …

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

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Provider Toolkit Prior Authorization Guide - Ambetter …

(9 days ago) WEBIf a service requires authorization, submit via one of the following ways: SECURE WEB PORTAL. provider.sunshinehealth.com. This is the preferred and fastest method. PHONE. 1-877-687-1169. After normal …

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

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Florida Medicaid Pre-Authorization Sunshine Health

(1 days ago) WEBIt's quick and easy. If an authorization is needed, you can access our login to submit online. Pre-Auth Check Tool - Ambetter Medicaid & Child Welfare Medicare Healthy …

https://www-es.sunshinehealth.com/providers/preauth-check.html?langswitch_lang=en

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Provider Toolkit Quick Reference Guide - Ambetter from Sunshine …

(5 days ago) WEBUse the Pre-Auth Needed tool on our website to determine if prior authorization is required. Submit prior authorizations via: Secure Provider Portal. External Link. Medical …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-quick-reference-guide.html

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Referral and Authorization Information Ambetter from Sunshine …

(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 …

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

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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WEBPrior Authorization is a request made by you or your doctor to get Wellcare By Allwell Medicare's approval before receiving treatment. During this process, we may request …

https://wellcare.sunshinehealth.com/member-resources/member-rights/prior-authorization-medical.html

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Prior Authorization - Sunshine Health

(7 days ago) WEBPrior Authorization List. CMS Health Plan needs to approve in advance the services listed below. Prior approval is required for all services by a provider who is not in the CMS …

https://www.sunshinehealth.com/members/cms/resources/Prior-Authorization.html

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Ambetter Prior Authorization Change Summary - Ambetter from …

(7 days ago) WEBPrior authorization is a process initiated by the physician in which we verify the medical necessity of a treatment in advance using independent objective medical …

https://ambetter.sunshinehealth.com/provider-resources/provider-news/ambetter-prior-authorization-change-summary.html

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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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Prior Authorization, Step Therapy & Quantity Limitations - Wellcare

(4 days ago) WEB2022 Information. 2021 Information. Prior Authorization, Step Therapy and Quantity Limits. Our plan has a team of doctors and pharmacists who create tools to …

https://wellcare.sunshinehealth.com/drug-pharmacy/prior-authorization.html

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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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Florida Medicaid Pre-Auth Form Sunshine Health

(9 days ago) WEBFind out if you need a Medicaid pre-authorization with Sunshine Health's easy Pre Auth Needed Tool.

https://www-es.sunshinehealth.com/providers/preauth-check/medicaid-pre-auth.html?langswitch_lang=en

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For Providers - Ambetter from Sunshine Health

(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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Find a Doctor or Pharmacy - Wellcare

(2 days ago) WEBA doctor is a trusted partner and is key to getting the care you need, when you need it. Use the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, …

https://wellcare.sunshinehealth.com/find-doctor.html

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBProvider Training Materials Pre-Auth Needed? Tool PCP verification Contact the Sunshine Health Provider Services Department, 8am to 7pm EST, Mon-Fri, at phone …

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

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