Sunshine Health Reimbursement Guidelines

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Billing and Claims Sunshine Health

(Just Now) WebBilling and Claims. Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims …

https://www.sunshinehealth.com/providers/Billing-manual.html

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MILEAGE REIMBURSEMENT GUIDELINES - Sunshine Health

(Just Now) WebMILEAGE REIMBURSEMENT GUIDELINES . • Mileage reimbursement trips should be scheduled by calling LogistiCare’s reservation line at any of the following numbers …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/V4%20MILEAGE%20REIMBURSEMENT%20GUIDELINES.pdf

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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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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WebHEALTH PLAN INFORMATION. Ambetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877 …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.pdf

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Provider and Billing Manual - Florida - Ambetter from …

(5 days ago) WebPractice Guidelines ----- 66 Patient Safety and Quality of Care Reimbursement Policies ----- 105 If a practitioner/provider already participates with Sunshine Health in the …

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

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Subject: - Ambetter from Sunshine Health

(3 days ago) WebPhysical Therapy. Therapy for the preservation, enhancement or restoration of movement and physical function impaired or threatened by disease, injury or disability. Physical …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/policies/payment-policies/CC.PP.068%20-%20Multiple%20Procedure%20Payment%20Reduction%20(MPPR)%20for%20Therapeutic%20Services.pdf

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Telemedicine for Ambetter - Ambetter from Sunshine Health

(3 days ago) WebTelemedicine can help you: Engage patients to take a more active role in their health. Treat patients with non-emergent health issues remotely, or after hours. Improve efficiency …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/telemedicine-for-ambetter.html

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(6 days ago) WebReimbursement will be sent tothe Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Healthhas on record (To view your address of record, …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL%20Reimbursement-Form.pdf

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MEMBER REIMBURSEMENT MEDICAL CLAIM FORM

(8 days ago) WebReimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, …

https://ambetter-es.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL%20Member%20Reimbursement%20Medical%20Claim%20Form.pdf

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Member FAQ - Wellcare

(Just Now) WebSunshine Health; Language Assistance. A A A. Search. Enter an out-of-network provider that is reviewed by the plan after the fact and that service does not …

https://wellcare.sunshinehealth.com/member-resources/new-members/member-faq.html

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Sunshine Health and Targeted Case Management (TCM

(2 days ago) WebTimeline of reimbursement from receipt of a clean claim: Sunshine Health follows AHCA guidelines. Clean claims will be adjudicated within 15 days of receipt of an electronic …

https://www.easterseals.com/necfl/shared-components/document-library/sunshine-billing-instructions.pdf

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WebCounty Health Department Billing Codes: Updated Billing Code [ 109.9 kB ] 2024 Promulgated Billing Code [ 109.7 kB ] 2023: Federally Qualified Health Center Billing …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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Overview of Billing Guidelines for Early Intervention Services …

(4 days ago) WebTo file a dispute, a provider can: Call 1-844-477-8313 or Send a written dispute using the Sunshine Health Provider Claim Dispute Request Form to: Sunshine Health PO Box …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2018/12/Overview-EIS-TCM-billing-guidelines-11-29-18.pdf

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FL - Member Reimbursement Medical Claim Form - Ambetter …

(9 days ago) Web4. Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, …

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

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Sunshine Health Overview of Early Intervention Services (EIS) …

(Just Now) Web• Behavioral health claims: 68068 (for EIS TCM services – see section 2. above) b. Paper claims can be submitted to: Medical Claims (including EIS): Behavioral health claims …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2019/02/Sunshine-Health-EIS-TCM-Billing-Tip-Sheet-01312019.pdf

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Physician financial transparency reports (Sunshine Act)

(6 days ago) WebThe Physician Payments Sunshine Act (PDF) is designed to increase transparency around the financial relationships (PDF) between physicians, teaching hospitals and …

https://www.ama-assn.org/practice-management/medicare-medicaid/physician-financial-transparency-reports-sunshine-act

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Sunshine Health Overview of Early Intervention Services (EIS) …

(5 days ago) Web5. Process for reimbursement: Providers can submit clean claims as noted above. If a MFC provider has not executed a LOA by the time a region is implemented, Sunshine Health …

https://floridafapa.org/wp-content/uploads/2019/02/Sunshine-MFC-Billing.pdf

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