Sunshine Health Provider Authorization

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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 …

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

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OUTPATIENT AUTHORIZATION FORM (FLORIDA) - Sunshine …

(6 days ago) WEBFax to: 833-741-0943 HH Fax to: 866-534-5978 BH: Fax 844-208-9113. Urgent requests - Please call 1-844-477-8313. *Urgent requests are made when the member or his/her …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/SH-PRO-UM-Outpatient%20Auth.pdf

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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 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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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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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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Provider Quick Reference Guide - Centene

(Just Now) WEBRequest Prior Authorization (PA) Contact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or fax 866-614 …

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

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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WEBWhat is Prior Authorization? Mailing Address - Allwell from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323; HMO SNP MEMBERS. Please …

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

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Manuals, Forms and Resources Sunshine Health

(1 days ago) WEBPayment of claims is dependent upon eligibility, covered benefits, provider contracts and correct coding and billing practices. For specific details, please refer to the Allwell from …

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

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Contact Us Allwell from Sunshine Health - Wellcare

(1 days ago) WEBProvider Services: 1-877-935-8022 (TTY: 711) From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us …

https://wellcare.sunshinehealth.com/contact-us.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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Outpatient Authorization Form - Ambetter from Sunshine …

(8 days ago) WEBComplete and Fax to: 855-678-6981 Transplant Request Fax to: 833-550-1337. Request for additional units. Existing Authorization. Units. Standard requests - Determination within …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_EF-PAF-0699_Outpatient_10292020.pdf

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBProviders can visit the Sunshine Health website at SunshineHealth.com to access the following: Provider Manuals, Forms, Directories Effectiveness of Care type measures …

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

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METS Sunshine Health

(8 days ago) WEBSunshine Health recognizes that barriers may be present for providers and members. If symptoms worsen, services can be titrated up to increase frequency and duration of …

https://www.sunshinehealth.com/providers/Behavioral-health/mets.html

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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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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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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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Clinical Review Nurse-Prior Authorization - jobs.centene.com

(6 days ago) WEBLPN - Licensed Practical Nurse - State Licensure required. Pay Range: $25.00 - $44.85 per hour. Centene offers a comprehensive benefits package including: …

https://jobs.centene.com/us/en/jobs/1499438/clinical-review-nurse-prior-authorization/

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NORTH CENTRAL EARLY STEPS SERVICE PROVIDER MANUAL …

(Just Now) WEB• Sunshine Health • Sunshine CMS • Humana Standard Operating Procedures – Billing, MMA Plans 1. Coverage Determination and Verification a. Verify …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2024/05/UFNCES-ServiceProviderManual_24-25_2024-05-15-edit.pdf

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