Sunshine State Health Plan Provider Tools

Listing Websites about Sunshine State Health Plan Provider Tools

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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 …

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

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For Providers - Ambetter from Sunshine Health

(9 days ago) WEBHealthy 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 …

https://ambetter.sunshinehealth.com/provider-resources.html

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Provider Toolkit Secure Provider Portal - Ambetter from Sunshine …

(6 days ago) WEBAccess Daily Patient Lists from One Screen. One concise view allows primary care providers to scan patient lists for Ambetter from Sunshine Health member eligibility, …

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

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

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/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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METS Sunshine Health

(8 days ago) WEBMembers with high intensity use of behavioral health outpatient services in comparison to other members within the state for at least 12 months are identified using historical …

https://www.sunshinehealth.com/providers/Behavioral-health/mets.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. …

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

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Provider Quick Reference Guide - Centene

(Just Now) WEB: e Health Plan calculates and HEDIS Measures: Sunshine Health calculates and reports HEDIS measures annually. HEDIS consists of 20+ Effectiveness of Care type measures …

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

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

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Secure Provider Website - Sunshine Health

(9 days ago) WEBProviders can view and submit both authorizations and claims through the website. A secure messaging feature allows a Provider to communicate with the health plan …

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

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WellCare and Sunshine Health are joining health plans Wellcare

(1 days ago) WEBIn Florida, WellCare Health Plans and Sunshine Health are bringing our health plans together to better serve our members, providers, partners and …

https://www.wellcare.com/Florida/Providers/Bulletins/WellCare-and-Sunshine-Health

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HealthPlan - redirect.centene.com

(Just Now) WEB2. Receive a letter to choose a plan. 3. Choose a plan. 4. Call a Choice Counselor toll-free at 1-877-711-3662 (TTY 1-866-467-4970) or visit the Statewide Medicaid Managed Care …

https://redirect.centene.com/?RedirectURL=www.choosesunshinehealth.com

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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 …

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

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Sunshine State Health Plan Addendum Table of Contents

(3 days ago) WEBAs a Cenpatico Medicare contracted provider for Advantage by Sunshine State Health Plan, you are required to follow a number of Medicare regulations and Centers for …

https://www.cenpatico.com/content/dam/centene/cenpatico/pdfs/FLFL_Florida-Medicare-Provider-Manual-Addendum-_020513_ENG.pdf

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Health Insurance Provider Support Ambetter from Sunshine Health

(6 days ago) WEBAmbetter from Sunshine Health offers a provider toolkit with materials to simplify administrative responsibilities. Learn more about our health insurance provider support. …

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

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