Sunshine Health Authorization Requirements

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Prior Authorization Guide-Florida - Ambe…

(8 days ago) For services or supplies that require prior authorization, as shown on your Schedule of Benefits, you must obtain authorization from us before the you or your dependent member:

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/AMB-FL_PriorAuthGuide_web.pdf

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Authorization Submission Updates Sunshine Health

(7 days ago) WebAuthorization Submission Updates. Date: 11/03/21. Sunshine Health implemented several new UM vendors. Please refer to the list on our Vendors Page for …

https://www.sunshinehealth.com/newsroom/authorization-submission-updates.html

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Provider Toolkit Prior Authorization Guide - Ambetter …

(9 days ago) Web1-877-687-1169. After normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned by phone, fax or web. FAX. Medical. 1 …

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

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How to Secure Prior Authorization - Ambetter from Sunshine …

(Just Now) WebAfter normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned phone, fax, or web. Emergency …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/ProAMB91233PriorAutGuideFL.pdf

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Prior Authorization Guide-Florida - Ambetter from Sunshine …

(8 days ago) WebMEDICAL. 1-855-678-6981. BEHAVIORAL HEALTH. 1-855-279-6165. Prior Authorization (PA) may be submitted by fax, phone, or website. After normal business hours and on …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/AMB-FL_PriorAuthGuide_web.pdf

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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 electronic …

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

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Ambetter Prior Authorization Change Summary - Ambetter from …

(7 days ago) WebAmbetter Prior Authorization Change Summary. Date: 06/21/23. Ambetter from Sunshine Health requires prior authorization (PA) as a condition of payment for …

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

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Prior Authorization - Sunshine Health

(7 days ago) WebPrior Authorization List. CMS Health Plan needs to approve in advance the services listed below. Prior approval is required for all services by a provider who is not in the CMS …

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

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Radiology Sunshine Health

(4 days ago) WebThis program is consistent with industry-wide efforts to ensure clinically appropriate quality of care and to manage the increasing utilization of these services. Sunshine Health …

https://www.sunshinehealth.com/providers/Specialty-services/radiology.html

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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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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WebMailing Address - Allwell from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323; Prior authorization is not a guarantee of payment. Wellcare By …

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

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Prior Authorization, Step Therapy & Quantity Limitations - Wellcare

(4 days ago) Web2022 Information. 2021 Information. Prior Authorization, Step Therapy and Quantity Limits. Our plan has a team of doctors and pharmacists who create tools to help …

https://wellcare.sunshinehealth.com/drug-pharmacy/prior-authorization.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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Secure Provider Website - Sunshine Health

(9 days ago) WebThe Health Record tab allows you to view a record of visits or medications for the patient Care plans are created by the health plan’s case manager to help manage the health.of …

https://provider.sunshinehealth.com/static/provider/docs/Secure_Provider_Website_Manual_NOV2017.pdf

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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 …

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

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Prior Authorization - Aetna Better Health

(4 days ago) WebIf you have questions about what is covered, consult your Provider Manual or call 1-855-456-9126. Remember, prior authorization is not a guarantee of payment. Unauthorized …

https://www.aetnabetterhealth.com/ny/providers/information/prior

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Sunshine Adult Health Care Senior Center

(Just Now) WebWe operate an adult day care facility that’s specifically designed to offer the therapeutic, diagnostic, preventative and rehabilitation dementia care services that vulnerable people …

https://www.sunshineadhcc.com/

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