Simply Healthcare Precertification
Listing Websites about Simply Healthcare Precertification
Precertification Lookup Tool - Simply Healthcare Plans
(3 days ago) WEBThis tool is for outpatient services only. Inpatient 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-covered Services (i.e., experimental procedures, cosmetic surgery, etc.)— refer to your Provider Manual for coverage
https://provider.simplyhealthcareplans.com/florida-provider/precertification-lookup
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Precertification Request - Simply Healthcare Plans
(7 days ago) WEBPrecertification Request . To prevent delays in processing your request, please submit all appropriate clinical information, provider contact information and any other required documents to support your request. If this is a request for an extension or modification of an existing authorization from Simply Healthcare Plans, Inc. and Clear
https://www.simplyhealthcareplans.com/florida-medicare/flfl_care_precertrequestform.pdf
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Authorization, precertification and referral process reminder
(3 days ago) WEBwith the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. SFLPEC-0973-19 July 2019 75629FLPENSHP Authorization, precertification and referral process reminder
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Home Health/DME Precertification Request
(6 days ago) WEBSimply Healthcare Plans, Inc. dba Clear Health Alliance is a Managed Care Plan with a Florida Medicaid contract. Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract. SFL-NL-0368-21 October 2021 . This communication applies to the Medicaid programs for Simply Healthcare Plans, Inc. (Simply) and
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Precertification Request - Simply Healthcare Plans Providers
(4 days ago) WEBSimply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract. FLSMPLY-CD-052504-24 March 2024. To ask a question or submit your precertification request, use the following contact information, or submit the …
https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_Other_PrecertificationRequestForm.pdf
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General Precertification Request - Simply Healthcare Plans
(Just Now) WEBFlorida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. SFLCARE-0110-19 December 2019 72699CAPENABC General Precertification Request . Standard or expedited:
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Medication Precertification Requests - Simply Healthcare Plans
(6 days ago) WEBSimply Healthcare Plans, Inc. Medicaid Managed Care Medication precertification requests Page 5 of 15 . Completing the Request Info tab: 1. Enter the Auth Start Date and Auth End Date for the precertification request: • The start date will default to the current date, and the end date will default to six months from the current date.
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Precertification form notification
(9 days ago) WEBEnrollment in Simply Healthcare Plans, Inc. depends on contract renewal. SHPCRNL-0105-21 July 2021 519257MUPENMUB Precertification form notification The best way to ensure you're submitting everything needed for a precertification is to use the precertification form on the Forms page. By filling out the form completely and with as …
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Precertification Request - provider.simplyhealthcareplans.com
(6 days ago) WEBPrecertification Request * Availity, LLC. is an independent company providing administrative support services on behalf of Simply Healthcare Plans, Inc. and Clear Health Alliance. https://provider.simplyhealthcareplans.com https://provider.clearhealthalliance.com Simply Healthcare Plans, Inc. is a Managed …
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UPDATED: Simply Healthcare Plans, Inc. expands specialty …
(9 days ago) WEBUPDATED: Simply Healthcare Plans, Inc. expands specialty pharmacy precertification list **This collateral ran originally in the July 1, 2023, newsletter and was also posted on the provider portal with an October 1, 2023, effective date. The new date of service will begin on November 1, 2023.**
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Utilization management Simply Healthcare
(7 days ago) WEBFollow the steps outlined below to receive coverage for medications requiring prior authorization: If a Prior Authorization is required, ask your doctor to submit the request to Simply Healthcare by fax (1-877-577-9045) or by phone (1-877-577-9044) and include a Request for Coverage Determination Form. Request for Medicare Prescription Drug
https://www.simplyhealthcareplans.com/florida-medicare/care/utilization-management.html
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Pharmacy Benefits Simply Healthcare
(6 days ago) WEBThey will work with the pharmacy and Simply to review your case and replace the medicines as needed. If you have any questions about your or your child’s pharmacy benefit, call Pharmacy Member Services at 1-833-214-3607 (TTY 711) for Florida Medicaid or 1-833-267-3110 (TTY 711) for Florida Healthy Kids, 24 hours a day, 7 days a week.
https://www.simplyhealthcareplans.com/florida-medicaid/benefits/pharmacy-benefits.html
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Simply Healthcare plans Simply Healthcare
(2 days ago) WEBFind the Medicare plan that meets your unique health care needs. Visit Simply Medicare. We work with thousands of doctors to make getting medical care easy. Use our search tool to find: Simply Doctors. Medicare Member Services: 1-877-577-0115 (TTY 711) Medicaid Member Services:
https://www.simplyhealthcareplans.com/florida-home/simply.html
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Precertification Requirements - Clear Health Alliance
(4 days ago) WEBThe following ALWAYS require precertification: Elective services provided by or arranged at nonparticipating facilities. All services billed with the following revenue codes: 0023 — Home health prospective payment system. 0570–0572, 0579 — Home health aide. 0944–0945 — Other therapeutic services. 3101–3109 — Adult day and foster care.
https://provider.clearhealthalliance.com/florida-provider/precertification
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Florida Medicaid - Simply Healthcare plans Simply Healthcare
(4 days ago) WEBIf you, or anyone in your household, have standing orders or prior approvals for trips, that information will be sent to the new vendor. Call Member Services at 844-406-2396 (TTY 711) for Florida Medicaid or 877-440-3738 (TTY 711) for Long-Term Care Monday through Friday, 8 a.m. to 7 p.m. Eastern time if you have questions. Thank you.
https://www.simplyhealthcareplans.com/florida-medicaid/home.html
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Member Eligibility and Pharmacy - Simply Healthcare Plans
(6 days ago) WEBMember eligibility, panel listings and member reports. Providers can access real-time member eligibility information, member reports and panel listings from the Availity Portal. To log in or for more information, visit our Member …
https://medicalpolicy.simplyhealthcareplans.com/florida-provider/member-eligibility-and-pharmacy
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WEBPrecertification is valid only for the dates requested. Concurrent review and discharge planning anniversary date, the hospital, physician or health care professional must provide notice again that the service is exhausted or not covered by the primary carrier. 3. Does the Provider submit the denial from the Medicare and/or Commercial Insurance
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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Credentialing Process Overview - Horizon BCBSNJ
(5 days ago) WEBServices and products provided by Horizon Blue Cross Blue Shield of New Jersey or Horizon Healthcare of New Jersey, Inc., independent licensees of the Blue Cross anBd lue Shield Association. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross and Blue Shield Association.
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Precertification Coordinator - Atlas Spine & Interventional …
(6 days ago) WEBThe Pre-Cert Coordinator will work directly with the healthcare practice staff to process pre-authorizations. This is a high-volume and fast-paced practice. Must work well under pressure, and be extremely organized. Precertification: 1 year (Preferred) PIP/No Fault: 1 year (Required) pain management: 1 year (Preferred) Work Location: In
https://www.simplyhired.com/job/_qQn8N7MXOvXt2XQ-JcJnEdg90PWG1wG4spDS6FgR_NNKiLHmQLMUg
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