Sunshine Health Provider Authorization Lookup

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Florida Medicaid Pre-Authorization Sunshine Health

(9 days ago) WEBOur Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line …

https://www.sunshinehealth.com/providers/preauth-check.html

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Pre-Auth Tool Ambetter from Sunshine Health

(6 days ago) WEBBehavioral Health/Substance Abuse need to be verified by Sunshine Health. Oncology Biopharmacy, Radiation Oncology drugs, and administration of Radiation Oncology …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/pre-auth.html

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Provider Toolkit Prior Authorization Guide - Ambetter …

(9 days ago) WEBIf a service requires authorization, submit via one of the following ways: SECURE WEB PORTAL. provider.sunshinehealth.com. This is the preferred and fastest method. PHONE. 1-877-687-1169. After normal …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-prior-authorization-guide.html

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Provider Toolkit Quick Reference Guide - Ambetter from Sunshine …

(5 days ago) WEBUse the Pre-Auth Needed tool on our website to determine if prior authorization is required. Submit prior authorizations via: Secure Provider Portal. External Link. Medical …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-quick-reference-guide.html

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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WEBPrior Authorization is a request made by you or your doctor to get Wellcare By Allwell Medicare's approval before receiving treatment. During this process, we may request …

https://wellcare.sunshinehealth.com/member-resources/member-rights/prior-authorization-medical.html

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Referral and Authorization Information - Ambetter from Sunshine …

(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 …

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

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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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Provider Resources - Ambetter from Sunshine Health

(7 days ago) WEBIf you need help, call Provider Services at 1-877-687-1169 (Relay Florida 1-800-955-8770) Monday through Friday from 8 a.m. to 8 p.m. Eastern. Stay up to date on Ambetter from …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms.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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Florida Medicaid Pre-Auth Form Sunshine Health

(9 days ago) WEBFind out if you need a Medicaid pre-authorization with Sunshine Health's easy Pre Auth Needed Tool.

https://www-es.sunshinehealth.com/providers/preauth-check/medicaid-pre-auth.html?langswitch_lang=en

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Health Insurance Resources for Providers Ambetter from …

(5 days ago) WEBHealthy partnerships are our specialty. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. You’re dedicated to …

https://ambetter.sunshinehealth.com/content/ambetter-fl/en_us/provider-resources.html

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Ambetter Prior Authorization Change Summary - Ambetter from …

(7 days ago) WEBPrior authorization is a process initiated by the physician in which we verify the medical necessity of a treatment in advance using independent objective medical criteria and/or …

https://ambetter.sunshinehealth.com/provider-resources/provider-news/ambetter-prior-authorization-change-summary.html

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Prior Authorization, Step Therapy & Quantity Limitations - Wellcare

(4 days ago) WEBQuantity Limits: For certain drugs, we limit the amount of the drug that we will cover. For example, one tablet per day. This may be in addition to a standard one-month …

https://wellcare.sunshinehealth.com/drug-pharmacy/prior-authorization.html

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBProvider Training Materials Pre-Auth Needed? Tool PCP verification Contact the Sunshine Health Provider Services Department, 8am to 7pm EST, Mon-Fri, at phone …

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

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Find a Doctor or Pharmacy - Wellcare

(2 days ago) WEBUse the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, pharmacies, and other providers. Consider choosing a doctor or provider that’s in …

https://wellcare.sunshinehealth.com/find-doctor.html

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Authorization to Use and Disclose Health Information - Wellcare

(9 days ago) WEBa. Authorization to Use and Disclose Health Information. Notice to Member: Completing this form will allow Sunshine Health to (i) use your health information for a particular …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2020-FL-PHI%20FORM-ALL-MA.pdf

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