Simply Healthcare Referral Tool

Listing Websites about Simply Healthcare Referral Tool

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Referrals - Simply Healthcare Plans

(9 days ago) WEBReferrals. To find a doctor, group or facility for a patient referral, use our online Provider Search tool or use one of the PDF referral directories listed below. Provider Search Tool.

https://provider.simplyhealthcareplans.com/florida-provider/referrals

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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, …

https://provider.simplyhealthcareplans.com/docs/FLFL_CAID_SMH_AuthPrecertandReferralProcessReminder.pdf

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Find a doctor Simply Healthcare

(8 days ago) WEB1-844-405-4298 (TTY 711) Long-Term Care (LTC) members. 1-877-440-3738 (TTY 711) Our team is available 24 hours a day and can: Give medical advice. Find the right place …

https://www.simplyhealthcareplans.com/florida-medicaid/care/find-a-doctor.html

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Provider Resources - Simply Healthcare Plans

(9 days ago) WEBSimply Healthcare Plans, Inc. (Simply) offers training and tutorials to support providers in continuing their education. Many of the tools you need — such as eligibility and …

https://provider.simplyhealthcareplans.com/florida-provider/resources

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Case Management - Simply Healthcare Plans

(4 days ago) WEBIf not, or if they need help contacting their case manager, please have them contact Member Services at 1-855-459-1566. Our case managers may call our members if: …

https://provider.simplyhealthcareplans.com/florida-provider/provider-case-management

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Find a Doctor Simply Healthcare Simply Healthcare

(8 days ago) WEBThe Pharmacy network and/or provider network may change at any time. You will receive notice when necessary. You may request a hard copy of the Provider/Pharmacy Directory to be mailed to you at any time by …

https://www.simplyhealthcareplans.com/florida-medicare/care/find-a-doctor.html

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Getting care 24/7 Simply Healthcare

(7 days ago) WEBAttention Enrollees or Parents/Guardian (s) of Enrollees receiving Private Duty Nursing in the home. You can report missed shifts or nursing visits 24 hours a day/7 days a week …

https://www.simplyhealthcareplans.com/florida-medicaid/care/getting-care.html

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Welcome New Member Simply Healthcare

(6 days ago) WEBWelcome to Simply! We're happy you’re here. As a new member, we know you have questions and we want you to get the most out of your benefits. Here are some tips to …

https://www.simplyhealthcareplans.com/florida-medicaid/get-help/welcome.html

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Precertification Requirements - Simply Healthcare Plans

(9 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 — …

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

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Provider Forms - Simply Healthcare Plans

(5 days ago) WEBMedicaid: 1-844-405-4296 Medicare Advantage: 1-844-405-4297 © 2021 Simply Healthcare Plans, Inc.

https://provider.simplyhealthcareplans.com/florida-provider/forms

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Precertification Request - Simply Healthcare plans Simply …

(7 days ago) WEBFor questions or to submit your request, use the following: Statewide Medicare Managed Care Managed Medical Assistance — prior authorization (PA) phone: 1-844-405-4297; …

https://www.simplyhealthcareplans.com/florida-medicare/flfl_care_precertrequestform.pdf

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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 …

https://www.simplyhealthcareplans.com/florida-medicare/care/utilization-management.html

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Shop Medicare Plans

(9 days ago) WEBSimply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to …

https://shop.simplyhealthcareplans.com/medicare/standalonetools/find-facility#!

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBThe claim, PCP referral and the primary insurer’s EOBs must be submitted within 60 days of the date of the EOB or within 180 days of the dates of service, whichever is later. …

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

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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 — …

https://provider.clearhealthalliance.com/florida-provider/precertification

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEB1-800-626-2212–for Medicare Provider and Member Referrals 1-800-543-5656–for FIDE-SNP Provider Clinical Appeals for Medicaid: Horizon NJ Health Horizon Behavioral …

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

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Member Eligibility & 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. …

https://medicalpolicy.simplyhealthcareplans.com/florida-provider/member-eligibility-and-pharmacy

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WEBThis form applies to, and should be completed by, health care professionals who are not MDs or DOs. For us to assess your credentials and ensure that you meet all criteria for …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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