Sunshine Health Provider Guide

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Sunshine Health Provider Portal & Resources Sunshine Health

(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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Resource Guides Sunshine Health

(1 days ago) WebFind a Provider; Health & Wellness; How to Enroll; Login; Medicaid News; Member Resources; Medicaid Resource Guide (PDF) Children's Medical Services Health Plan Resource Guide (PDF) Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description …

https://www.sunshinehealth.com/providers/resource-guides.html

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Provider Quick Reference Guide - Sunshine Health

(4 days ago) WebContact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or fax 866-614-4955 for assistance with the following services: Questions about claim/credentialing/network status Provider,Quick, Reference, Guide. Sunshine Health, Services

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Provider-Quick-Reference-Guide-PDF1.pdf

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Provider Directories Florida Medicaid Sunshine Health

(6 days ago) WebEmergency Resource Guide Fraud, Waste and Abuse Get the Most from Your Coverage Interoperability and Patient Access The Sunshine Health provider directory is a list of physicians, hospitals and other healthcare providers that are available to you. Some providers may not perform certain services based on religious or moral beliefs.

https://www.sunshinehealth.com/members/medicaid/find-a-doctor.html

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Behavioral Health Provider Quick Reference Guide - Sunshine …

(Just Now) Web1-844-477-8313 SunshineHealth.com Provider Services Provider Changes Adding Providers to Existing Group or Practice • A contracted medical or behavioral health practice that would like to add a practitioner should email all relevant documentation to [email protected] and include the following:

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Behavioral-Health-QRG.pdf

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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) WebIf 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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Provider and Billing Manual - Florida - Ambetter from …

(5 days ago) WebEDI Companion Guide Overview----- 108 Welcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of If a practitioner/provider already participates with Sunshine Health in the Medicaid or a Medicare product,

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

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Find your Ambetter provider today! - Ambetter from Sunshine …

(8 days ago) WebFollow the steps below to use the Find a Provider online search tool. Click on Find a Doctor from your Ambetter from Sunshine Health home page. If you are viewing this guide from the “Welcome to Find a Provider” screen please skip to STEP 2. Click on Use My Location or type in your Address, Zip Code, City or County to find a provider near

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/Find-a-ProviderGuideEN-FL.pdf

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Ambetter Provider Network Information - Ambetter from Sunshine …

(Just Now) WebThe Ambetter Health network includes healthcare providers to deliver all of the services that the Affordable Care Act describes as Essential Health Benefits. These include: Preventive care. Hospitalization coverage. Emergency services. And more (refer to your Evidence of Coverage (EOC) for the full list of benefits) To accomplish these goals

https://ambetter.sunshinehealth.com/find-a-provider/provider-network-design.html

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Find a Doctor Florida Medicaid Sunshine Health

(9 days ago) WebIf you need help finding an in-network provider, please call Member Services at the number on the back of your ID card. We will help you. Sunshine Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Find a …

https://www.sunshinehealth.com/find-a-doctor.html

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Find a Doctor or Pharmacy - Wellcare

(2 days ago) WebUse the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, pharmacies, and other providers. Consider choosing a doctor or provider that’s in-network. This will help keep your healthcare costs affordable. If you need help finding an in-network doctor or provider, give us a call. We’re here to help. Search for doctors

https://wellcare.sunshinehealth.com/find-doctor.html

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WebContact the Sunshine Health Provider Services Department, 8am to 7pm EST, Mon-Fri, at phone 866-796-0530, or fax 866-614-4955, for assistance with the following services: Questions regarding claim status PROVIDER …

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

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A Billing and Procedure Coding Guide: Home Health and

(6 days ago) WebClaim Form. Per the Florida Agency for Health Care Administration (AHCA), Home Health Service providers must bill claims on a CMS-1500 form. Any claims for Home Health Services received on a UB 04 (CMS-1450 form) or other will result in a claim denial. Paper claims must be submitted on the original form, free of any handwritten or stamped verbiage.

https://www-es.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/V5%20FINAL%208%208%2016%20Billing%20and%20Procedure%20Coding%20Guide%20vlh.pdf

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For Providers - Ambetter from Sunshine Health

(8 days ago) WebVisit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions. Healthy partnerships are our specialty. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. You’re dedicated to your patients, so we’re dedicated

https://ambetter.sunshinehealth.com/content/ambettermaster/en_us/provider-resources.html

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Where to Go for Care Ambetter from Sunshine Health

(3 days ago) WebMany Care Options for Minor Injuries. If your injury is minor and not life threatening (like a sprain or a cold), your first choice should be to call your primary care provider (PCP). Or choose Virtual 24/7 Care * for convenient video doctor visits! If you can’t wait for an appointment with your PCP, visit an urgent care center for injuries

https://ambetter.sunshinehealth.com/resources/new-members/where-to-go-for-care.html

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WELCOME TO SUNSHINE HEALTH! - Centene

(3 days ago) WebSunshine Health’s providers, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770), Monday through Friday, 8:00 A.M. through 8:00 P.M., Eastern Standard Time, or visit us on the web at www.sunshinehealth.com. BEHAVIORAL HEALTH Behavioral Health refers to mental health, alcohol and drug abuse services. Sunshine Health

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/LTC-Reg8.pdf

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See Your Primary Care Provider Regularly - Wellcare

(2 days ago) WebThe Annual Wellness Visit is a yearly appointment with your primary care provider (PCP). It is to create or update your personal wellness plan. This plan may help prevent illness. Keep in mind that this wellness visit is not a head-to-toe physical. Your health plan covers annual wellness visits at no charge to you.

https://wellcare.sunshinehealth.com/member-resources/member-rights/health-and-wellness/wellness-connection/see-your-primary-care-provider-regularly.html

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Quick Reference Guide: Ambetter Select Plan - Ambetter from …

(8 days ago) WebThese plan options are only offered within certain areas of FL. With your Select plan, you get to pick your Primary Care Physician (PCP). Your PCP is your main doctor — the one you see for regular checkups and your first option for care. To search our online Provider Directory, visit guide.ambetterhealth.com. Remember to select an in-network PCP!

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

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Find a Healthcare Provider - Ambetter Health

(3 days ago) Web<iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5W6L9HZ" height="0" width="0" title="Google Tag Manager" style="display:none;visibility:hidden"></iframe>

https://guide.ambetterhealth.com/

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