Sunshine Health Billing Requirements
Listing Websites about Sunshine Health Billing Requirements
Reminders for Billing Telehealth Services Sunshine Health
(4 days ago) People also askWhat billing requirements does Sunshine Health follow?The provider must adhere to all billing requirements in order to ensure timely processing of claims and to avoid unnecessary rejections and/or denials. Claims will be rejected or denied if not submitted correctly. In general, Sunshine Health follows CMS (Centers for Medicare & Medicaid Services) billing requirements.Table of Contents - Sunshine Healthsunshinehealth.comHow do I contact Sunshine health provider services?For questions regarding billing requirements, contact Sunshine Health Provider Services at 1-844-477-8313. If billing a professional submission with services spanning before and after Oct. 1, 2021, please split the services into two separate claim submissions as outlined below.Table of Contents - Sunshine Healthsunshinehealth.comWhat claim forms does Sunshine Health accept?Sunshine Health only accepts the CMS 1500 (8/05) and CMS 1450 (UB-04) paper claim forms. Other claim form types will be rejected and returned to the provider. Professional providers and medical suppliers complete the CMS 1500 (8/05) form and institutional providers complete the CMS 1450 (UB-04) claim form.Table of Contents - Sunshine Healthsunshinehealth.comWhat codes do I need to submit a Sunshine health claim?Sunshine Health requires claims to be submitted using codes from the current version of ICD- 9-CM, ICD-10, ASA, DRG, CPT4, and HCPCS Level II for the date the service was rendered. These requirements may be amended to comply with federal and state regulations as necessary. Below are some code related reasons a claim may reject or deny:Table of Contents - Sunshine Healthsunshinehealth.comFeedbackSunshine Healthhttps://www.sunshinehealth.com/providers/Billing-manual.htmlBilling and Claims Sunshine HealthWebThe guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. Ancillary MMA/SMI/CW Including Home Health, PDN (PDF) Ancillary CMS Including Home Health, PDN (PDF) Sunshine Health is a managed care plan …
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PROVIDER QUICK REFERENCE GUIDE
(1 days ago) Webelectronic Billing Manual, which offers detailed information regarding claims billing instructions, requirements for the CMS 1500/837 Professional, and the UB04/837 …
https://physicianscarenetwork.org/images/stories/NEW_Sunshine-quick_reference.pdf
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Health Provider Manual UPDATED 072513 - www-fl.centene.com
(1 days ago) WebSunshine Health - Long Term Care is a managed care organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve …
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Clinical & Payment Policies - Ambetter from Sunshine Health
(5 days ago) WebClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …
https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html
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MILEAGE REIMBURSEMENT GUIDELINES - Sunshine Health
(Just Now) WebSunshine Health Plan Reservations Ride Assistance . Medicaid 877-659-8420/TTY: 711 877-659-8421/TTY: 711 Child Welfare 877-659-8420/TTY: 711 877-659-8421/TTY: 711 …
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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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Provider and Billing Manual - Ambetter from Sunshine Health
(Just Now) WebHEALTH PLAN INFORMATION Ambetter from Sunshine Health Ambetter from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323 1-877-687-1169 Relay: …
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MLN901705 - Telehealth Services - Centers for Medicare
(8 days ago) WebPage 1 of 7. MLN901705 April 2024. We pay for specific Medicare Part B services that a physician or practitioner provides via 2-way, interactive technology (or telehealth). …
https://www.cms.gov/files/document/mln901705-telehealth-services.pdf
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Provider and Billing Manual - Ambetter from Sunshine Health
(9 days ago) WebProvider and Billing Manual 2021 Ambetter.SunshineHealth.com. AMBPROV20-FL-C-00024 STATE MANDATED REGULATORY REQUIREMENTS----- 151 Arkansas
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Ambetter Preventive Services Guide - Ambetter from Peach …
(6 days ago) WebAmbetter Preventive Care Services. Preventive care services can help you take charge of your health so you and your primary care provider (PCP) can catch problems before …
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Microsoft Word - 2016 Mileage Reimbursement Form - FL
(5 days ago) WebName: Phone #: *Each date of service must have a physician or clinician signature in order for reimbursement to be approved. NOTE: Each trip will be confirmed with the …
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Provider and Billing Manual - Florida - Ambetter from …
(5 days ago) WebSpecific Data Record Requirements ----- 34 Electronic Claim Flow Description & Important General Information BILLING THE MEMBER----- 53 Covered Services -----53 If a …
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For Providers WeShare® UHSM PPO Network Support
(8 days ago) WebPlease note that WeShare® by UHSM has a standard turnaround time of five (5) business days on all prior authorization requests. If you require any help with the form, need status …
https://www.weshare.org/for-providers/
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Department of Human Services Commonwealth of Pennsylvania
(9 days ago) WebOverview. Our mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an …
https://www.pa.gov/en/agencies/dhs.html
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