Sunshine Health Dme Guidelines

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Provider Quick Reference Guide - Centene

(Just Now) WebContact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or fax 866-614-4955 for assistance with the following …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/Provider-Quick-Reference-Guide-PDF1.pdf

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Clinical & Payment Policies - Ambetter from Sunshine Health

(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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Referral and Authorization Information - Ambetter …

(9 days ago) WebPrior authorization means that we have pre-approved a medical service. To see if a service requires authorization, check with your Primary Care Provider (PCP), the ordering provider or Member Services. When we …

https://ambetter.sunshinehealth.com/resources/handbooks-forms/referral-authorization.html

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Durable Medical Equipment (DME) and Medical Supplies

(3 days ago) WebMedicaid reimburses for durable medical equipment (DME) and medical supplies appropriate for use in the recipient’s home. DME may be rented, purchased or rented-to …

https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/specialized-health-services/durable-medical-equipment-dme-and-medical-supplies

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WebDurable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients: Updated Fee Schedule [ 722.3 kB ] 2024 Updated XLS [ 134.6 kB ] …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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Member FAQ - Wellcare

(Just Now) Webmedicare members: protect yourself against medicare fraud and identify theft! the u.s. department of health and human services office of inspector general is …

https://wellcare.sunshinehealth.com/member-resources/new-members/member-faq.html

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WebThe only entity that Sunshine Health delegates grievance and appeals to is Cenpatico. All other vendors must send complaints, grievances, and appeals Sunshine Health …

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

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Florida Medicaid - The Agency for Health Care Administration

(3 days ago) WebFlorida Medicaid specialized durable medical equipment and medical supply (DME) services provide medically necessary devices and items that are unique from other DME …

https://ahca.myflorida.com/content/download/23763/file/59G-4.072%20Durable%20Medical%20%20Equipment%20and%20Medical%20Supply%20Services%20Specialized.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebWith the exception of Medicare, Horizon NJ Health’s notification policies that are routinely applied and required must be followed for any claims to be considered for payment. …

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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Which individual health insurance plan is best for you?

(1 days ago) WebIn 2019, all individual plans are either Exclusive Provider Organization (EPO) or Health Maintenance Organization (HMO) plans. EPO and HMO plans use networks of doctors, …

https://nj.gov/dobi/division_insurance/ihcseh/whichindividualplanbest/whichplanbest2019.pdf

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