Sunflower Health Plan Codes

Listing Websites about Sunflower Health Plan Codes

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Provider Manuals, Forms and Resources

(6 days ago) WEBLearn more about Sunflower Health Plan's Practice Improvement Resource Center (PIRC) which contains resources such as provider manuals, health forms, - Claims EX (Explanation) codes from the remittance advice to the CARC (Claims Adjustment …

https://www.sunflowerhealthplan.com/providers/resources/forms-resources.html

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Provider and Billing Manual - Sunflower Health Plan

(1 days ago) WEBProvider and Billing Manual 2019 Ambetter.SunflowerHealthPlan.com AMBPROV18-KS-C-00002. Ambetter from Sunflower Health Plan is underwritten by Sunflower State …

https://ambetter.sunflowerhealthplan.com/content/dam/centene/sunflower/ambetter/pdfs/KS-2019-ProviderManual.pdf

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Ambetter Provider Resource Guide - Sunflower Health Plan

(1 days ago) WEBAmbetter from Sunflower Health Plan P.O. Box 5000 Farmington, MO 63640-5000 Refund of Payment Refund checks should be mailed to Ambetter Health Plan: For medical …

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

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Payment Policies Update November 2021 - Sunflower Health Plan

(6 days ago) WEBSunflower Health Plan will be implementing the following policies and prepay edit updates effective November 1, 2021. Policies. CC.PP.070 - 340B Drug Payment Reduction …

https://ambetter.sunflowerhealthplan.com/provider-resources/provider-news/payment-policies-update-november-2021.html

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Managed Care Organization & Fee-For-Service Billing Code

(8 days ago) WEBSunflower Health Plan (Billing code effective 1/1/2024) (ESI - PBM) N/A: 003858: MA: 2ELA: United Healthcare Community Plan of Kansas (Optum Rx - PBM) N/A: 610494: …

https://www.kdhe.ks.gov/205/Managed-Care-Organization-Fee-For-Servic

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Payment Policies Update September 2021

(7 days ago) WEBThe below policies have been revised or changed. Sunflower will be implementing these for Allwell (Medicare) and Ambetter (Marketplace) effective September 1, 2021. …

https://ambetter.sunflowerhealthplan.com/provider-resources/provider-news/payment-policies-update-september-2021.html

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Provider and Billing Manual - Ambetter from Sunflower …

(2 days ago) WEBClaim Reconsiderations Related To Code Editing And Editing 58. CODE EDITING 59. CPT and HCPCS Coding 59 International Classification of Diseases (ICD-10) 60 Revenue …

https://ambetter.sunflowerhealthplan.com/content/dam/centene/sunflower/ambetter/pdfs/KS-2021AmbPrvdrManualV2.pdf

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Kansas Medicaid Benefits from Sunflower Health Plan Learn More

(3 days ago) WEBAs part of your Kansas Medicaid benefits and coverage, Sunflower Health Plan can help you find a provider, find local resources, plan an appointment and find transportation. …

https://www.sunflowerhealthplan.com/members/medicaid/benefits-services/benefits-overview.html

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Kansas Clinical Payment Policies - Sunflower Health Plan

(Just Now) WEBClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

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

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Secure Provider Website - Sunflower Health Plan

(4 days ago) WEBThe Health Record tab allows you to view a record of visits or medications for the patient Care plans are created by the health plan’s case manager to help manage the …

https://provider.sunflowerhealthplan.com/static/provider/docs/Secure_Provider_Website_Manual_NOV2017.pdf

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Corrected Claims - Quick Reference Guide Sunflower Health Plan

(Just Now) WEBSubmit corrected claims to Sunflower Health Plan using the values specified for the fields below: CMS 1500 / Professional Claims: Box 22. Medicaid Resubmission Code = 7 for …

https://www-es.sunflowerhealthplan.com/providers/resources/forms-resources/corrected-claims-qrg.html

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Information for All Providers - Third Party - eMedNY

(9 days ago) WEBFor Medicaid Prepaid Capitation Plans only, the two-digit plan code and up to 20 alphabetic coverage codes, or the word “ALL” indicating what services are covered, is …

https://www.emedny.org/ProviderManuals/AllProviders/PDFS/Information_for_All_Providers-Third_Party-2008-4.pdf

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National Imaging Associates, Inc. (NIA) Frequently Asked …

(1 days ago) WEBThe CPT codes for PT, OT and ST initial evaluations do not require an authorization. However, all other billed CPT codes even if performed on the same date as the initial

https://www1.radmd.com/sites/default/files/2023-10/Sunflower%20Health%20Plan%20PM%20FAQ.pdf

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INFORMATION FOR ALL PROVIDERS MANAGED CARE …

(8 days ago) WEBPlan Code Plan ID # PCP Provider Name Telephone Number Plan Type 82 00477156 Affinity Health Plan, Inc. (800) 553-8247 Mainstream 92 00894519 Metroplus Health …

https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/docs/managed_care_information_for_all_providers.pdf

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Horizon Blue Cross Blue Shield of New Jersey 2018 Managed …

(5 days ago) WEBHorizon Blue Cross Blue Shield of New Jersey 2018 Managed Care Benefits-at-a-Glance1. If you have questions about enrollment, benefits or claims, visit NaviNet.net or …

https://www.horizonblue.com/sites/default/files/2018-01/Benefit_Grid_MC.pdf

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Health Insurance Plans in North Bergen, NJ Wirefly

(5 days ago) WEBThe least costly plans are usually designed to solely cover catastrophic events. A plan that costs more in premiums and deductibles will usually offer coverage for practically all …

https://www.wirefly.com/compare-insurance-rates-quotes/health-insurance/new-jersey/north-bergen

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A New Use for Wegovy Opens the Door to Medicare Coverage for …

(4 days ago) WEBKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, …

https://www.kff.org/medicare/issue-brief/a-new-use-for-wegovy-opens-the-door-to-medicare-coverage-for-millions-of-people-with-obesity/

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