Sunshine Health Billing Department

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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 …

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

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Sunshine Health Provider Billing Manual

(9 days ago) WebClaims will be rejected or denied if not submitted correctly. In general, Sunshine Health follows CMS (Centers for Medicare & Medicaid Services) billing requirements. For …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Provider-Billing-Manual-010219.pdf

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Contact Us Sunshine Health

(6 days ago) WebAmbetter: 1-833-750-1160. For questions on the formulary or a drug that is provided through a retail pharmacy or specialty pharmacy call. Ambetter, Medicaid, Serious Mental Illness …

https://www.sunshinehealth.com/providers/contact-us.html

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Manuals, Forms and Resources Sunshine Health

(1 days ago) WebProvider and Billing Manual - Medicare Advantage (PDF) Quick Reference Guide (PDF) Claims and Payments Billing. PaySpan – EFT/ERA Allwell from Sunshine Health is …

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

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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WebAmbetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687-1169 (Relay Florida 1-800 …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.pdf

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Clinical & Payment Policies - Ambetter from Sunshine …

(5 days ago) 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.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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Guidelines for proper claims submissions Sunshine Health

(5 days ago) WebEDI Department; Date of Service. Health Plan. Provider Service Phone # Questions via email: Before Oct. 1, 2021: Staywell Health Plans, Children's Medical …

https://www.sunshinehealth.com/newsroom/Guidelines-for-proper-claims-submissions.html

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Insurance Information - Sunshine Health

(1 days ago) WebOur Billing Department will be happy to file your in-network insurance claims as a courtesy to you. Should you have any questions regarding our providers, services or our …

https://sunshinehealth.net/patients/insurance-info/

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Sunshine Health Provider Portal & Resources Sunshine …

(5 days ago) WebNew Single Case Agreement (SCA) Request Form is Faster, More Efficient. The new form is designed to help providers quickly share patient medical information with our contracting …

https://www.sunshinehealth.com/providers.html

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Contact Us Florida Medicaid Sunshine Health

(6 days ago) WebPlease fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry. If …

https://www.sunshinehealth.com/contact-us.html

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Marionville-Aurora Police Department searching for man accused …

(7 days ago) WebPublished: May. 3, 2024 at 8:03 AM PDT Updated: seconds ago. SPRINGFIELD, Mo. (KY3) - The Aurora-Marionville Police Department is searching for …

https://www.ky3.com/2024/05/03/marionville-aurora-police-department-searching-man-accused-violating-parole/

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Reminders for Billing Telehealth Services Sunshine Health

(Just Now) WebClaim submissions for members who transitioned to Sunshine Health or CMS Health Plan with dates of service after October 1, 2021, must be billed to Sunshine …

https://www.sunshinehealth.com/newsroom/telehealth-billing-update.html

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Florida Provider Resources Florida Medicaid Sunshine Health

(5 days ago) WebEDI support for HIPAA transactions is provided by Sunshine Health’s corporate office, Centene Corporation. For support, please contact our EDI Department at 1-800-225 …

https://www.sunshinehealth.com/providers/resources.html

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Effective as of - Sunshine Health

(9 days ago) WebIn general, Sunshine Health follows the CMS (Centers for Medicare & Medicaid Services) billing requirements. For questions regarding billing requirements, contact a Sunshine …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Provider-Billing-Manual-Update.pdf

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LTC Claims Submission Provider Resources Sunshine Health

(1 days ago) WebIt is important that providers ensure Sunshine Health has accurate billing information on file. Please confirm with your Provider Relations Department that the following …

https://www.sunshinehealth.com/providers/resources/electronic-transactions/ltc-claims-submission.html

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Clinical & Payment Policies Provider Resources Sunshine Health

(4 days ago) 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://www.sunshinehealth.com/providers/utilization-management/clinical-payment-policies.html

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Balance Billing FAQ - Sunshine Health

(8 days ago) WebBalance Billing FAQ. .O. Box 459089 Fort Lauderdale, FL 33345-9089. Balance Billing FAQ. Sunshine Health works to ensure that our Medicare, Medicaid and CMS members …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Balance-Billing-FAQ.pdf

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EIS and TCM Billing Guide Sunshine Health

(9 days ago) WebThis means that a provider can bill Sunshine Health for the EIS and EIS TCM services that a new member was receiving, prior to enrolling in Sunshine Health, …

https://www.sunshinehealth.com/providers/provider-training/eis-and-tcm-billing-guide.html

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Portal for Members Login Sunshine Health

(1 days ago) WebSunshine Health offers many convenient and secure tools to assist you. You also have access to your healthcare information. To enter our secure portal, click on the login …

https://www.sunshinehealth.com/login.html

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Medical License Required for Claims Payment Sunshine Health

(8 days ago) WebTo help prevent claim denials, providers are encouraged to keep their license status up to date with the Florida Department of Health. For assistance with your …

https://www.sunshinehealth.com/newsroom/medical-license-required-for-claims-payment.html

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Member Services Sunshine Health

(6 days ago) WebContacting Member Services. You may call us at 1-866-796-0530, or TTY at 1-800-955-8770, Monday through Friday, 8 a.m. to 8 p.m., but not on state approved holidays (like …

https://www.sunshinehealth.com/members/medicaid/benefits-services/member-services.html

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Member Services Sunshine Health

(1 days ago) WebContacting Member Services. You may call us at 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday, 8 a.m. to 8 p.m. Eastern but not on state approved holidays like …

https://www.sunshinehealth.com/members/cms/benefits-services/member-services.html

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Florida Medicaid & Health Insurance Sunshine Health

(2 days ago) WebA session will be held on June 27, 2024, from 1:30 to 4 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health …

https://www.sunshinehealth.com/.

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