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Manuals, Forms and Resources Sunflower Health Plan

WebMental and Physical Health (PDF) - Member-facing information about whole-person health; New Century Health - For members 21 years of age or older, authorizations for oncology …

Actived: 9 days ago

URL: https://www-es.sunflowerhealthplan.com/providers/resources/forms-resources.html

Claims Quick Reference Guide Sunflower Health Plan

WebNavigating Sunflower Health Plan Claims and Payment. The Sunflower Health Plan Claims Resolution Process can help guide you through some common claims and payment …

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Frequently Asked Questions Provider Resources Sunflower …

WebSunflower Health Plan is a Medicaid Managed Care Organization (MCO) that serves the health needs of Kansans. Sunflower has been contracted with the Kansas Department …

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Provider Resources

WebMany health clubs focus on the body. myStrength focuses on the mind and spirit. Personal – Daily exercises, eLearning tools, inspirational thoughts and activities made for each …

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Prior Authorization Sunflower Health Plan

WebSome services require prior authorization from Sunflower Health Plan in order for reimbursement to be issued to the provider. Use our Prior Authorization Prescreen tool. …

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Provider Training Sunflower Health Plan

WebJoin us for office hours during which you can get your questions answered. We will have recurring, bimonthly 30-minute sessions during which any provider is …

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Eligibility Verification Sunflower Health Plan

WebThe KMAP Provider Portal. The Beneficiary Eligibility Verification System (BEVS) Providers can accept verification of enrollment in Sunflower from the BEVS system in lieu of the ID …

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Electronic Transactions Sunflower Health Plan

WebSunflower Health Plan. c/o Centene EDI Department. (800) 225-2573, ext. 607-5525. Or by email at [email protected]. To receive Electronic Fund Transfers (EFTs) and …

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Provider/Practitioner Changes Sunflower Health Plan

WebTo obtain credentialing status, or if you have questions about these rights, please contact the Sunflower Contracting Department at 1-877-644-4623. Change forms and …

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Medicaid Pre-Auth Sunflower Health Plan

WebMedicaid Pre-Auth. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims …

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HEDIS Sunflower Health Plan

WebThe Kansas Department of Health and Environment (KDHE) requires National Committee for Quality Assurance (NCQA) accreditation for its three KanCare managed care …

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Sunflower Health Plan Medicaid Provider Application Sunflower …

WebIf you are interested in joining our network call toll free 1-877-644-4623, email us at [email protected] or use one of the request forms below. The Kansas …

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Sunflower Provider Quick Reference Guide

WebBehavioral Health: 1-877-644-4623 Pharmacy: 1-877-644-4623 Medical Correspondence/ Non-Claims: Sunfower Health Plan PO Box 4070 Farmington, MO 63640-3833 …

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Medicare Provider Resources Sunflower Health Plan

WebOther Resources. Clinical & Payment Policies. QMB Balance Billing FAQs - information about balance billing qualified medicare beneficiaries. Sunflower Member ID Card …

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Grievances and Appeals Sunflower Health Plan

WebGrievance/Complaint Process. Appeal Process. If you have additional questions about these processes, please call Customer Service at 1-877-644-4623 TTY: 711. Interpretive …

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Provider Relations Territory Map Sunflower Health Plan

WebRegion 5 (Orange) - Rachel Lafferty. *Out-of-state and nationally contracted providers, please contact us at [email protected].

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Corrected Claims

WebFirst-time claims must be received by Sunflower within 180 calendar days from the date of service (discharge date for inpatient or observation claims). When Sunflower is the …

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AMBETTER FROM SUNFLOWER HEALTH PLAN

WebAmbetter Health gives members more ways to save with: Ambetter delivers high quality, locally-based • A range of plans - from streamlined, virtual-only plans to more healthcare …

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Kan-Be-Healthy, EPSDT in Kansas and Beyond

WebEPSDT. Medicaid provides children health care benefits through the EPSDT program. EPSDT: Also known as Kan-Be-Healthy in Kansas. Health services provided under the …

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Annual QualityProgram Evaluation

Webdelivery of health care provided to all members, including those with special needs. This systematic approach to quality improvement provides a continuous cycle for assessing …

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The medical information found on the MediWells website is designed to support, not to replace the relationship between patient and physician and the medical advice they may provide.