Simply Health Care Precert Lookup

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Precertification Lookup Tool - Simply Healthcare Plans

(3 days ago) WEBThis tool is for outpatient services only. Inpatient services and non-participating providers always require precertification. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all Non-covered Services (i.e., experimental procedures, cosmetic surgery, etc.)— refer to your Provider Manual for coverage

https://provider.simplyhealthcareplans.com/florida-provider/precertification-lookup

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Authorization, precertification and referral process reminder

(3 days ago) WEBwith the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. SFLPEC-0973-19 July 2019 75629FLPENSHP Authorization, precertification and referral process reminder

https://provider.simplyhealthcareplans.com/docs/FLFL_CAID_SMH_AuthPrecertandReferralProcessReminder.pdf

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Web precertification status and appeals tutorial - Simply …

(4 days ago) WEBwith the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. SFLPEC-1608-19 August 2019 75792FLPENAGP . Web precertification status and appeals tutorial . Precertification status and appeals

https://provider.simplyhealthcareplans.com/docs/FLFL_CHA_SMH_AvailityWebPrecertStatusAppealsTutorial.pdf

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Florida Medicaid - Simply Healthcare plans Simply …

(4 days ago) WEBIf you, or anyone in your household, have standing orders or prior approvals for trips, that information will be sent to the new vendor. Call Member Services at 844-406-2396 (TTY 711) for Florida Medicaid or 877-440-3738 (TTY 711) for Long-Term Care Monday through Friday, 8 a.m. to 7 p.m. Eastern time if you have questions. Thank you.

https://www.simplyhealthcareplans.com/florida-medicaid/home.html

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Simply Healthcare plans Simply Healthcare

(2 days ago) WEBFind the Medicare plan that meets your unique health care needs. Visit Simply Medicare. We work with thousands of doctors to make getting medical care easy. Use our search tool to find: Simply Doctors. Medicare Member Services: 1-877-577-0115 (TTY 711) Medicaid Member Services: 1-844-406-2396 (TTY 711) Florida Healthy Kids Member Services:

https://www.simplyhealthcareplans.com/florida-home/simply.html

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Member Eligibility & Pharmacy - Simply Healthcare Plans

(6 days ago) WEBMember eligibility, panel listings and member reports. Providers can access real-time member eligibility information, member reports and panel listings from the Availity Portal. To log in or for more information, visit our Member …

https://medicalpolicy.simplyhealthcareplans.com/florida-provider/member-eligibility-and-pharmacy

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FLSMPLY-CD-052504-24 Update Precert Request Form CMAP

(4 days ago) WEBSimply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract. FLSMPLY-CD-052504-24 March 2024. To ask a question or submit your precertification request, use the following contact information, or submit the …

https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_Other_PrecertificationRequestForm.pdf

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Simply Healthcare Plans Providers

(9 days ago) WEBTo determine if pharmacy benefits are payable by Simply Healthcare Plans, Inc., please confirm the requested services are a covered benefit. Questions about members’ pharmacy benefits can be answered by calling our Pharmacy department at 877-577-9044 between 8 a.m. to 8 p.m. Eastern time, Monday through Friday.. Please refer to the Preferred Drug …

https://medicalpolicy.simplyhealthcareplans.com/florida-provider/home

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Pharmacy Benefits Simply Healthcare

(6 days ago) WEBThey will work with the pharmacy and Simply to review your case and replace the medicines as needed. If you have any questions about your or your child’s pharmacy benefit, call Pharmacy Member Services at 1-833-214-3607 (TTY 711) for Florida Medicaid or 1-833-267-3110 (TTY 711) for Florida Healthy Kids, 24 hours a day, 7 days a week.

https://www.simplyhealthcareplans.com/florida-medicaid/benefits/pharmacy-benefits.html

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Find a Doctor Simply Healthcare Simply Healthcare

(8 days ago) WEBThe Pharmacy network and/or provider network may change at any time. You will receive notice when necessary. You may request a hard copy of the Provider/Pharmacy Directory to be mailed to you at any time by calling Member Services toll-free number at 1-877-577-0115 (TTY 711). Find a Doctor / Find Care.

https://www.simplyhealthcareplans.com/florida-medicare/care/find-a-doctor.html

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Medication Precertification Requests - Simply Healthcare Plans

(4 days ago) WEBSimply Healthcare Plans, Inc. Medicaid Managed Care Medication precertification requests Page 5 of 15. Completing the Request Infotab: 1. Enter the Auth Start Date. and Auth End Datefor the precertification request: • The start date will default to the current date, and the end date will default to six months from the current date.

https://provider.simplyhealthcareplans.com/docs/FLFL_CHA_Pharmacy_MedicationPrecertificationRequests.pdf

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Precertification Requirements - Clear Health Alliance

(4 days ago) WEBThe following ALWAYS require precertification: Elective services provided by or arranged at nonparticipating facilities. All services billed with the following revenue codes: 0023 — Home health prospective payment system. 0570–0572, 0579 — Home health aide. 0944–0945 — Other therapeutic services. 3101–3109 — Adult day and foster care.

https://provider.clearhealthalliance.com/florida-provider/precertification

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Find a doctor Simply Healthcare

(8 days ago) WEB1-844-405-4298 (TTY 711) Long-Term Care (LTC) members. 1-877-440-3738 (TTY 711) Our team is available 24 hours a day and can: Give medical advice. Find the right place to get care. Help in any language.

https://www.simplyhealthcareplans.com/florida-medicaid/care/find-a-doctor.html

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBhorizonNJhealth.com 2. Horizon NJ Health will check the member’s eligibility and benefit coverage and request the following information: A. Member ID number B. Member’s name, address and date of birth C. Specific clinical information, such as diagnosis, severity, supporting evidence of diagnosis, and planned treatment

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WEBServices and products provided by Horizon Blue Cross Blue Shield of New Jersey or Horizon Healthcare of New Jersey, Inc., independent licensees of the Blue Cross anBd lue Shield Association. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross and Blue Shield Association.

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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PROCEDURE/SURGERY AND AFTER CARE PRE-CERTIFICATION …

(7 days ago) WEBPROCEDURE/SURGERY AND AFTER CARE PRE-CERTIFICATION. 32442 (0719) Horizon Casualty Services, Inc. P.O. Box 10175 Newark, NJ 07101-3175 1-800-985-7777 www.HorizonCasualty.com. PROCEDURE/SURGERY AND AFTER CARE PRE-CERTIFICATION.

https://www.horizonblue.com/horizoncasualty/securecms-documents/576/horizon-casualty-services-procedure-after-care-pre-cert.pdf

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Physical Therapist (PT) - Hudsonview Center for Rehabilitation and

(6 days ago) WEB1 Evaluates residents, develops appropriate treatment goals, and methods, implements the physical therapy treatment plan, and completes all related documentation and record keeping regarding these services; services include application of therapeutic techniques in areas such as gait, ambulation, muscle strength, coordination, endurance, mobility, …

https://www.simplyhired.com/job/1l32xDgRAXUVZzIfVjwU4pGAUxhtx3tY45YkrXs7ikR8dPLcNff4_w

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