Sunshine Health Timely Filing Guidelines

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Provider Toolkit Quick Ref…

(5 days ago) 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://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-quick-reference-guide.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBAmbetter from Sunshine Health includes EPO products that are underwritten by Celtic Insurance Company, Timely Filing 54 . Refunds and Overpayments Who Can File …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/2023-FL-AmbProviderManual.pdf

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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 Fax: 1 …

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

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBCMS 1500/837 Professional, and the UB04/837 facility claim forms. Sunshine Health’s Payer ID is 68069. Timely Filing Guidelines: Initial Filing – 180 calendar days from the …

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

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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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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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Provider and Billing Manual - Ambetter from Sunshine Health

(5 days ago) WEBWelcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of physicians, hospitals, and other healthcare professionals. Centene …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2019-ProviderManual.pdf

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Ambetter Provider Resource Guide - Sunflower Health Plan

(1 days ago) WEBAmbetter from Sunflower Health Plan ATTN: Claims P.O. Box 5010 Farmington, MO 63640-5010 Timely Filing is 180 days from date of service or primary payment (when …

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

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Ambetter Timely Filing Limit - Initial Claims, Reconsideration, Appeal

(4 days ago) WEBAmbetter Timely Filing Limit of :1) Initial Claims2) Reconsideration or Claim disputes/Appeals3) Coordination of Benefits. Ambetter from Absolute Total Care - South …

https://www.rcmguide.com/ambetter-timely-filing-limit/

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBhorizonNJhealth.com 2. Horizon NJ Health will check the member’s eligibility and benefit coverage and request the following information: A. Member ID number B. Member’s …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WEBMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBhealth provider. Authorization is required for many behavioral health services. To obtain an authorization, please call the Provider Services number card. All Horizon NJ Health …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Provider and Billing Manual - Ambetter from Sunshine Health

(9 days ago) WEBHEALTH PLAN INFORMATION Ambetter from Sunshine Health Ambetter from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323 1-877-687-1169 Relay: …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2020AmbetterPrvdrManual.pdf

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