Sunshine Health Authorization Portal

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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 with our contracting team to expedite the SCA process. Sunshine Health offers free online accounts for providers. Create yours and access the secure tools you need today.

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

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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 staff are available 24/7 for after-hour calls. Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check.

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

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Prior Authorization - Sunshine Health

(2 days ago) WEBThe number is 1-866-796-0530. Some covered services require a prior authorization from Sunshine Health before the service is provided. The list of services that need a prior authorization can include an admission to the hospital after your emergency condition has improved, power wheelchairs, home health visits, MRI X-rays, hospice care, genetic

https://www.sunshinehealth.com/members/medicaid/resources/Prior-Authorization.html

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Manuals, Forms and Resources Sunshine Health

(1 days ago) WEBFor specific details, please refer to the Allwell from Sunshine provider manual. If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Authorization Forms. Authorization requests may be submitted by secure web portal and should include all necessary clinical information.

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

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Florida Medicaid Pre-Auth Form Sunshine Health

(7 days ago) WEBHome Health (Infusion) services need to be verified by Sunshine Health. DME/home infusion form (PDF) MMA, SMI, and Child Welfare Therapy requests (PT, OT, ST) at Outpatient free standing facilities are managed through HN1. HN1 does not manage members aged 0-2, PPEC, EIS, or Outpatient hospital. HN1 can be reached at 1-888 …

https://www.sunshinehealth.com/providers/preauth-check/medicaid-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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Referral and Authorization Information - Ambetter from …

(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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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 Fax: 1-855-678-6981. Behavioral Fax: 1-844-208-9113. Phone: 1-877-687-1169. Claims. Timely Filing guidelines: 180 days from date of service.

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

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Provider Resources - Ambetter from Sunshine Health

(7 days ago) WEBCall Provider Services For Help. If 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 Sunshine Health provider notices by reviewing and bookmarking Provider News.

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms.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 need to be verified by Evolent. Drug authorizations need to be verified by Envolve Pharmacy Solutions; for assistance call 866-399-0928. Post-acute facility (SNF, IRF, and LTAC) …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/pre-auth.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 button. A new window will open. You can login or register. Creating an account is free and easy. By creating a Sunshine Health account, you can: Change your Primary Care Doctor.

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

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Provider Toolkit Secure Provider Portal - Ambetter from Sunshine …

(6 days ago) WEBAdditional Features to Streamline Office Operations: View patient demographics & history. Secure messaging between provider & Ambetter from Sunshine Health. Update provider demographics. Infographic Description. Protected, Convenient Access at Your Fingertips. Visibility of Multiple TINs. Access Daily Patient Lists from One Screen.

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-secure-provider-portal.html

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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WEBMailing Address - Allwell from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323; We recommend that providers submit prior authorizations through the web portal, via phone or via fax. Prior authorization is not a guarantee of payment. Wellcare By Allwell retains the right to review the medical necessity of services

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

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBRequest Prior Authorization (PA) Contact the Sunshine Health Provider Services Department, 8am to 7pm EST, Mon-Fri, at phone 866-796-0530, or fax or adjustments can be submitted through our secure web portal or mailed to: Sunshine Health PO Box 3070 Farmington, MO 63640-3823 ATTN: Adjustment/Reconsiderations/Disputes

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

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Sunshine Health and Staywell Integration Provider Resources

(6 days ago) WEBCall ATA-FL at 1-888-550-8800 and enter the extension of the representative below in your area; you may also dial the toll-free number and select Option 2 to speak with an in-house Provider Relations Representative. Regions 1, 2, …

https://mytnfl.com/sunshine-health-staywell-health-integration-resources.php

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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 purpose, and/or (ii) share your health information with the individual or entity that you identify on this form. You do not have to sign this form or give permission to

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

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Online Member Account Ambetter from Sunshine Health

(1 days ago) WEBYour Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan.

https://ambetter.sunshinehealth.com/ambetter-online-member-account.html

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBHorizon NJ Health UM Department to verify that a prior authorization has been obtained. To check status of Prior Authorization and/or changes to the Prior Authorization, go to NaviNet.net. If a response for a Prior Authorization request for non-emergency services is not received within 15 days call 1-800-682-9091.

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

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Authorization Granting Access to MyChart Medical Record

(7 days ago) WEBI request that (insert name of Proxy) be provided access to my health information that is available in my Hackensack Meridian Health MyChart Record. This person is my designated MyChart Proxy. I authorize Hackensack Meridian Health and its contractors to release the health information contained in my MyChart record to my MyChart Proxy.

https://mychart.hmhn.org/mychart/en-US/docs/HUMC_MyChart_Adult_Proxy_Form.pdf

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Medical Records and Release of Information - CarePoint Health

(9 days ago) WEB308 Willow Avenue. Hoboken, NJ 07030. Phone: 201‐418‐1458. Fax: 201‐603-6692. Medical Group. Phone: 678-829-4700 x2047. *There is no charge for having your medical records sent to another medical facility. If you want to obtain copies for personal reasons, you will be charged a $6.50 fee. Medical Records and Release of Information Your

https://carepointhealth.org/patients-visitors/medical-records-and-release-of-information/

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