Sunshine Health Reimbursement Guidelines

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Billing and Claims Sunshine Health

(Just Now) WEBBilling and Claims. Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims …

https://www.sunshinehealth.com/providers/Billing-manual.html

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MILEAGE REIMBURSEMENT GUIDELINES - Sunshine Health

(Just Now) WEBMILEAGE REIMBURSEMENT GUIDELINES . • Mileage reimbursement trips should be scheduled by calling LogistiCare’s reservation line at any of the following numbers …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/V4%20MILEAGE%20REIMBURSEMENT%20GUIDELINES.pdf

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Clinical & Payment Policies - Ambetter from Sunshine Health

(5 days ago) WEBPolicies in the Sunshine Health Clinical Policy Manual may have either a Sunshine Health or a “Centene” heading. They are used to help identify whether health care …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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Provider Quick Reference Guide - Centene

(Just Now) WEBCenpatico (Behavioral Health) 1-866-796-0530 . www.Cenpatico.com Dental Health & Wellness www.dentalhw.com To find a Dentist, use Sunshine Health’s website. …

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

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(8 days ago) WEB4. Reimbursement 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-es.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL%20Member%20Reimbursement%20Medical%20Claim%20Form.pdf

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(6 days ago) WEBReimbursement 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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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WEBCounty Health Department Billing Codes: Updated Billing Code [ 109.9 kB ] 2024 Promulgated Billing Code [ 109.7 kB ] 2023: Federally Qualified Health Center Billing …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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Member FAQ - Wellcare

(Just Now) WEBSunshine Health; Language Assistance. A A A. Search. Enter an out-of-network provider that is reviewed by the plan after the fact and that service does not …

https://wellcare.sunshinehealth.com/member-resources/new-members/member-faq.html

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Sunshine Health and Targeted Case Management (TCM) …

(9 days ago) WEBTimeline of reimbursement from receipt of a clean claim: Sunshine Health follows AHCA guidelines. Clean claims will be adjudicated within 15 days of receipt of an electronic …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2018/12/Sunshine-Billing-Instructions.pdf

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Overview of Billing Guidelines for Early Intervention Services …

(4 days ago) WEBTo file a dispute, a provider can: Call 1-844-477-8313 or Send a written dispute using the Sunshine Health Provider Claim Dispute Request Form to: Sunshine Health PO Box …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2018/12/Overview-EIS-TCM-billing-guidelines-11-29-18.pdf

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Sunshine Health Overview of Early Intervention Services (EIS) …

(Just Now) WEB• Behavioral health claims: 68068 (for EIS TCM services – see section 2. above) b. Paper claims can be submitted to: Medical Claims (including EIS): Behavioral health claims …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2019/02/Sunshine-Health-EIS-TCM-Billing-Tip-Sheet-01312019.pdf

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Physician financial transparency reports (Sunshine Act)

(6 days ago) WEBThe Physician Payments Sunshine Act (PDF) is designed to increase transparency around the financial relationships (PDF) between physicians, teaching hospitals and …

https://www.ama-assn.org/practice-management/medicare-medicaid/physician-financial-transparency-reports-sunshine-act

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