Date: 08/31/21. In order to avoid rejected claims or encounters always remember to: You will need Adobe Reader to open PDFs on this site. All claims and encounter data must be submitted on either an original form CMS 1500, UB 04, or by electronic media in an approved format. Centenes acquisition of WellCare's Medicaid products, including , https://www.sunshinehealth.com/newsroom/Guidelines-for-proper-claims-submissions.html, Health (1 days ago) Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Providers are responsible for correcting any errors and resubmitting the affiliated claims and encounters. Health (6 days ago) Please fill out the below form or contact us at 1-866-796-0530 . The benefit information provided is a brief summary, not a complete description of benefits. Sunshine Health is a managed care plan with a Florida Medicaid contract. Providers needing personal , https://www.cenpatico.com/providers/fl.html, Health (4 days ago) 4.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-Reimbursement-Form.pdf, United healthcare exchange find a provider, Valley medical center behavioral health, Silver spring healthcare center milwaukee, Allegheny county health department permit, Providence digestive health santa monica, 2021 health-improve.org. To contact a Provider Services representative, call 1-844-477-8313. Get medical help from doctors via video and phone. Florida acknowledged that the company's failures - blamed on technology glitches over nearly three months - were "non-willful." The benefit information provided is a brief summary, not a complete description of benefits. How to Create Positive New Habits in our New World, Children's Medical Services Health Plan (KidCare), Complaints, Grievances and Appeals (Medicaid), Medicaid Supplemental Preferred Drug List, Pediatric Therapy Provider Access Contact, ROPA Provider Enrollment Application Now Available, Derrick Brooks and Sunshine Health encourage COVID-19 vaccinations, updates for Screening, Brief Intervention and Referral to Treatment (SBIRT), SunshineProviderRelations@Sunshinehealth.com. Members call any time to reach our 24-hour Nurse Advice Line. Box 31368 Tampa, FL 33631-3368. For questions on specialty drugs, call 1-866-796-0530. Health (6 days ago) Please fill out the below form or contact us at 1-866-796-0530 . 1-800-225-2573, extension 25525 Provider Town Halls cover a variety of post-integration updates to better assist you in navigating our processes. Questions regarding this update can be emailed to SunshineProviderRelations@Sunshinehealth.com. Date: Contact Us Florida Medicaid Sunshine Health Health Please fill out the below form or contact us at 1-866-796-0530 . There are no changes, as PaySpan Health will continue to be the provider of Electronic Funds Transfer (EFT) and Electronic Remittance Advice/Explanation of Payment (ERA/EOP) free solutions. Contact Us Florida Medicaid Sunshine Health. and attachments to the appropriate address: Ambetter from Sunshine Health Attn: Level I - Request for Reconsideration . Fort Lauderdale, Florida. Sunshine Health Florida Claims Address Health (Just Now) (Just Now) Sunshine Health P.O. Starting Feb. 1, 2021, Sunshine Healthrequires hospital providers to use inpatient type of bill code 0112 interim when billing first-time claims for interim inpatient stays that exceed 100 consecutive days. For questions on the formulary or a drug that is provided through a retail pharmacy call, 1-800-311-0539. All requests for claim reconsideration or adjustment must be received within 90 calendar days from the date of notification of payment or denial. All rights reserved | Email: [emailprotected], United healthcare exchange find a provider, Silver spring healthcare center milwaukee, Allegheny county health department permit. Providers that bill electronically are responsible for filing claims within the same filing deadlines as providers filing paper claims. Contact Us Florida Medicaid Sunshine Health. Get medical help from doctors via video and phone. Ambetter Telehealth. . The benefit information provided is a brief summary, not a complete description of benefits. For participating providers who have internet access and choose not to submit claims via Electronic Data Interchange (EDI), Sunshine Health has made it easy and convenient to submit claims directly to us on our website atwww.sunshinestatehealth.com. We recommend that providers notify Sunshine Health in advance of changes pertaining to billing information. You are required to submit an encounter or claim for each service that you render to a Sunshine Health Enrollee. Provider must ensure that all data and documents submitted to Sunshine Health, to the best of your knowledge, information and belief, are accurate, complete or truthful. Download the free version of Adobe Reader. If you have a life threatening emergency, please contact 911. See the Appointment Availability standards for Medicaid, Children's Medical Services Health Plan, Ambetter (Marketplace) and Wellcare (Medicare). Health (6 days ago) Please fill out the below form or contact us at 1-866-796-0530 . If you are not already registered, create a new account by registering at payspanhealth.com/ or call 1-877-331-7154. Farmington, MO 636404401. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change. Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). It is important that providers ensure Sunshine Health has accurate billing information on file. Title . There are five easy steps to submitting a claim. The benefit information provided is a brief summary, not a complete description of benefits. Electronic claim submission (EDI) is the preferred method for fast and accurate processing. Ambetter can help. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change. (Just Now)Sunshine Health P.O. Copies of claim forms will not be accepted. PO Box 4001 Your inquiry will be reviewed. Sunshine State Health Plan (1 days ago) Sunshine Health will return claims when billing information does not match the information that is currently in our files. The Enrollee was eligible however the provider was unaware that the Enrollee was eligible for services at the time services were rendered. Your inquiry will be reviewed. As of December 6, 2021, Sunshine Health providers will notice an increased frequency in their payment schedule. For each subsequent inpatient hospital billing, the previous interim claim is voided by being recouped and replaced with the new claim type of bill code 0117. Stay up to date on any provider notices by bookmarking and reviewing Provider News. Sunshine Health is a managed care plan with a Florida Medicaid contract. Healthcare is essential. All disputed claims will be processed in compliance with the claims payment resolution procedure as described in this Provider Manual. c/o Centene EDI Department Limitations, co-payments and restrictions may apply. In a Workers Compensation case for which Sunshine Health is not financially responsible, the provider should directly bill the employers Workers Compensation carrier for payment. Ambetter can help. Florida's largest Medicaid managed care vendor, which came under scrutiny for failing to pay claims for sick children over several months . Please fill out the below form or contact us at 1-866-796-0530 . Non-clean claims are submitted claims that require further investigation or development beyond the information contained therein. Sunshine Health, Childrens Medical Services Health Plan - Operated by Sunshine Health. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 Sunshine Health's Payer ID is 68069. . If you have an Detail: Visit URL Category: Health View Health Sunshine Health Claims Mailing Address Ambetter Value Plans are offered in Miami-Dade county, and are available in Gold, Silver and Bronze plan metal levels. Use the same date of service guidance on the first page to determine the correct payer. Healthcare is essential. 08/31/21. Health (1 days ago) You can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). These plans require a referral to see specialists. Sunshine Health covers vaccinations for MediKids enrollees under the SMMC program. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in-class care to our members. Sunshine Health MMA: 1-866-796-0530 (TTY 1-800-955-8770) Sunshine Health Child Welfare Specialty Plan: 1-855-463-4100 (TTY 1-800-955-8770) Sunshine State Health Plan Inc. of Tampa had until 5 p.m. Thursday to dispute the large fine imposed last month by its government regulator, the Agency for Health Care Administration, leaving the company with only the option to concede to pay. A Sunshine Health , https://www.healthpoom.com/sunshine-health-claims-mailing-address/, Health (6 days ago) Ambetter Claims address and Phone Number - Lists Payer ID Claims Address Ambetter from Sunshine Health - Florida: 68069: 1301 International Parkway, Suite 400, , https://www.rcmguide.com/ambetter-claims-address-and-phone-number/, Health (1 days ago) Contact Ambetter In Florida Ambetter from Sunshine Health. Attn: LTC Reconsideration The errors or omissions in claims result in the request for additional information from the provider or other external sources to resolve or correct data omitted from the bill; review of additional medical records; or the need for other information necessary to resolve discrepancies. Farmington, MO 63640-3823 Claims missing the requirements in bold will be returned,and a notice sent to the provider, creating payment delays. " Sunshine waives any dispute not raised within 21 days," the government had warned the company March 17. EDIBA@centene.com. For more information contact the . Download the free version of Adobe Reader. P.O. Any prior underpayments will be reprocessed automatically. Box based on date of service guidance below. Mechanical or administrative delays or errors by Sunshine Health or AHCA. It must pay the fine - which amounted to $75 for each failure to pay a claim - by April 18. If you must submit paper claims, you must mail to the appropriate payers P.O. Sunshine Health is a managed care plan with a Florida Medicaid contract. Sunshine Health encourages all providers to file claims/encounters electronically. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 a.m.-8 p.m. Eastern Sunshine Health is a An agency spokesperson confirmed Friday that Sunshine State did not file any administrative challenge before the deadline. We value our partnership and are here to help. Claims will not be denied based solely on the period between date of service and the date of clean claim submission unless that period exceeds 365 days. Call Provider Services at1-844-477-8313 Monday through Friday from 8 a.m. to 8 p.m. Eastern or submit a request form. Centenes acquisition ofWellCare'sMedicaid products,includingStaywellHealth Plan, will be completeOct. 1, 2021. Children's Medical Services Health Plan (CMS Health Plan) WellCare operates Children's Medical Services Health Plan on behalf of the Florida Department of Health, serving children and adolescents with special healthcare needs. If you do not have an ID, sign up to obtain one today. Our Town Hall series is ongoing; however, we modified our existing process to separate the sessions and make them more specific to specialty types. Physicians, other licensed health professionals, facilities, and ancillary providers contract directly with Sunshine Health for payment of covered services. Find your representative. If you are a contracted Sunshine Health provider, you can register now. The claim must have been received within 6 months of the eligibility determination date. Call Provider Services at 1-844-477-8313 Monday through Friday from 8 a.m. to 8 p.m. Eastern or submit a request form. Contact Us You may view web claims, allowing you to re-open and continue working on saved, un-submitted claims and this feature allows you to track the status of claims submitted using the web site. A Sunshine Health representative may contact you regarding your inquiry. Claim Payment Disputes Do you need more information or have a question? Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 a.m.-8 p.m. Eastern Sunshine Health is a managed , https://www.sunshinehealth.com/providers/Billing-manual.html, Health (5 days ago) Guidelines for proper claims submissions effective Oct. 1, 2021. Sunshine Health will also operate the Department of Healths Children's Medical Services Health Plan beginning Oct. 1, 2021. Get covered with Sunshine Health today. Your inquiry will be reviewed. BOX 3070 Download the free version of Adobe Reader. Your inquiry will be reviewed. Sunshine Health is a managed care plan with a Florida Medicaid contract. Providers do not need to resubmit claims. Ambetter from Sunshine Health Attn: Claim Disputes PO Box 5000 Farmington, MO 63640-5000 Complaint/Grievance A Complaint/Grievance is a verbal or written expression by a provider which indicates dissatisfaction or dispute with Ambetter's policies, procedure, or any aspect of Ambetter's functions. Failure to follow these instructions may result in eligibility rejections. No other paid claims filed by the provider prior to the receipt of the claim under review. Please ensure these standards are implemented accordingly within your practice. transaction. Please remember the following when filing your claim/encounter: For all contracts with reimbursement for services based on AHCAs Medicaid fee for service rates, please note the following: Any reference to the Medicaid Fee-for-Service rates, Medicaid fee schedule, Medicaid state exempt rates or similar term contained in any contract is a reference to the applicable fee schedule used by AHCA as of the date of service to determine payment under the Medicaid FFS Program. The benefit information provided is a brief summary . (EOP). Get covered with Sunshine Health today. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 , https://www.health-improve.org/sunshine-health-florida-claims-address/, Health (9 days ago) Sunshine Health Florida Claims Address Health (Just Now) Billing and Claims Sunshine Health Health (Just Now) Sunshine Health P.O. All requests for reconsideration or adjustment to paid claims must be received within 90 calendar days from the date the notification of payment or denial is received. In addition, non-clean claims may involve issues regarding medical necessity and include claims not submitted within the filing deadlines. A Sunshine Health representative may contact you regarding your inquiry. (1 days ago) Contact Us Florida Medicaid Sunshine Health. Contact your pharmacy for information. Ambetter from Sunshine Health Attn: Level II - Claim Dispute PO Box 5000 Farmington, MO 63640 -5000. The filing limit may be extended for newborn claims, and where the eligibility has been retroactively received by Sunshine Health, up to a maximum of 365 days. We are closely monitoring and following all guidance from the Centers for Medicare and Medicaid (CMS), the Florida Department of Health (DOH), the Agency for Health Care Administration (AHCA), and all other applicable agencies as it is released to ensure we can quickly address and support the prevention, screening and treatment of COVID-19. The plan has the capability to receive an ASC X12N 837 professional, institution or encounter. Quick Links PRE AUTH CHECK SUBMIT CLAIM/CHECK CLAIM STATUS TRAINING Become A Provider Provider News Show Do you need more information or have a question? Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 a.m.-8 p.m. Eastern Sunshine Health is a managed care plan with a Florida Medicaid contract. ATTN: CLAIMS DEPARTMENT. and the UB04/837 facility claim forms. Health (6 days ago) Please fill out the below form or contact us at 1-866-796-0530 . 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. Staywell Health Plans, Children's Medical Services Health Plans, Sunshine Health Plan, Childrens Medical Services Health Plan - Operated by Sunshine Health. Use this form as part of the Ambetter from Sunshine HealthRequest for Reconsideration and Claim Dispute . Review and retain a copy of the error report that is received for claims that have been submitted electronically, then correct any errors and resubmit with your next batch of claims. This integration allows providers to access medical and behavioral health services in one place and have a single point of contact and benefits administration. Read provider coronavirus guidance. In addition, it has the ability to generate an ASC X12N 835 electronic remittance advice known as an Explanation of Payment (EOP). For more information on electronic filing, contact: Sunshine State Health Plan Public notices florida. To ensure accurate and timely claims capture, please observe the following claims submission rules: A clean claim means a claim received by Sunshine Health for adjudication, in a nationally accepted format in compliance with standard coding guidelines and which requires no further information, adjustment, or alteration by the provider of the services in order to be processed and paid by Sunshine Health. You will need Adobe Reader to open PDFs on this site. See if you're eligible to enroll. Health (1 days ago) Contact your pharmacy for information. Box 459089 Fort Lauderdale, FL 33345 , https://www.health-improve.org/sunshine-health-claims-address-for-fl/, Health (2 days ago) Contact Us Florida Medicaid Sunshine Health. We have updated our process for prompt payment of claims. All requests for reconsideration or adjustment to paid claims must be received within 90 days from the date the notification of payment or denial is received. There are many ways to get in touch with us, and resources available on our website: Existing Box based on date of service guidance below. If you must submit paper claims, you must mail to the appropriate payer's P.O. When submitting claims where other insurance is involved, a copy of the EOB or rejection letter from the other insurance carrier must be attached to the claim. Sunshine Health values our relationship with our provider partners and are pleased to announce updates for Screening, Brief Intervention and Referral to Treatment (SBIRT) for persons with substance use disorders. Member Services: As of Sept. 23, 2023, Sunshine Health and CMS Member Services are open as usual from 8 a.m. to 8 p.m. Monday-Friday. A response to an approved adjustment will be provided by way of check with an accompanying EOP. We value your partnership and want to help ensure proper claim submission to each plan based on the dates of service. Register for FREE training to treat Opioid Use Disorder (OUD) and qualify for the waiver to prescribe buprenorphine. Qualifying circumstances include: Consideration is granted in this situation only if all of the following conditions are met: When submitting a paper claim for review or reconsideration of the claims disposition, a copy of the EOP must be submitted with the claim, or the claim must clearly be marked asRE-SUBMISSION and include the original claim number.Failure toboldlymark the claim as a resubmission and include the claim number (or include the EOP) may result in the claim being denied as a duplicate, or for exceeding the filing limit deadline. Limitations, co-payments and restrictions may apply. Your inquiry will be reviewed. Limitations, co-payments and restrictions may apply. 4.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, please log on to Ambetter.SunshineHealth.com or call Member Services at 1-877-687-1169 (Relay Florida: 1-800-955-8770) Please register in advancespace is limited. Register for OUD Training. If you have an urgent medical situation please contact your doctor. To register for an upcoming Town Hall or watch recordings of previous Town Halls, visit ourTrainingweb page. Agency for Health Care. Your inquiry will be reviewed. Providers that bill electronically must monitor their error reports and evidence of payments to ensure all submitted claims and encounters appear on the reports. (EOP). Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 a.m.-8 p.m. Eastern Sunshine Health is a managed https://www.sunshinehealth.com/providers/Billing-manual.html Category: HealthShow Health Eligibility Verification Sunshine Health Health Attn: Appeals Department Health (6 days ago) Please fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. For more information on electronic filing . You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. All participating providers must submit claims or encounter data for every Enrollee within the timely filing limit which is 180 days of the date of service. 13,893* *As of 6/30/2022 Local Presence Pensacola, Tallahassee, Ocala, Jacksonville, New Port Richey, Tampa, Orlando, Fort Myers, West Palm Beach, Lauderhill, Miami Sunshine Health Sunshine Health is among the largest comprehensive healthcare plans in Florida. Attn: Level I - request for Reconsideration and claim Dispute PO box 5000 Farmington, MO -5000... To date on any sunshine health florida claims address notices by bookmarking and reviewing Provider News Health Services in one place have... Of service guidance on the formulary or a drug that is provided a... Us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ) or watch of! Medicaid, Children 's medical Services Health plan, will be provided by of... Medicare ) an urgent medical situation Please contact 911 for Services at the time Services rendered! Time Services were rendered Provider Services at 1-844-477-8313 Monday through Friday from 8 a.m. to 8 p.m. or! On us to share helpful information about COVID, how to prevent it and. Regarding this update can be emailed to SunshineProviderRelations @ Sunshinehealth.com and benefits administration resubmitting the affiliated claims and encounters on. The preferred method for fast and accurate processing submit a request form a.m. to 8 p.m. or. Premium and/or co-payments/co-insurance may change Lauderdale, FL 33345, https:,! To reach our 24-hour Nurse Advice Line that bill electronically must monitor their error reports and of. Error reports and evidence of payments to ensure all submitted claims that require investigation. Provider, you can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ) FL... Provider Town Halls, visit ourTrainingweb page by April 18 date on any Provider notices by and... Health Provider, you must submit paper claims, you must mail to sunshine health florida claims address... Are a contracted Sunshine Health is a managed care plan with a Florida Medicaid Sunshine Health or AHCA on first... Claims, you must mail to the receipt of the claim must have been received within 90 days! Sunshine Health is a brief summary, not a complete description of benefits life threatening emergency, contact! To follow these instructions may result in eligibility rejections to each plan based on the dates of service on... The waiver to prescribe buprenorphine company March 17 Quick Reference Guides ( QRGs ) this... Questions regarding this update can be emailed to SunshineProviderRelations @ Sunshinehealth.com get medical help from doctors video! Submitting a claim our process for prompt payment of claims the below form or contact us Medicaid! And evidence of payments to ensure all submitted claims and encounters appear the... And billing Quick Reference Guides ( QRGs ) their payment schedule managed care plan with a Medicaid. Claims, you can register Now filing, contact: Sunshine State Health plan Oct.... Address Health ( 1 days ago ) contact us Florida Medicaid Sunshine Health vaccinations... 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Accurate billing information date on any Provider notices by bookmarking and reviewing Provider News - Operated by Sunshine Attn! Correct payer dates of service guidance on the formulary or a drug that is through. March 17 not submitted within the filing deadlines receipt of the claim must have received. Quot ; Sunshine waives any Dispute not raised within 21 days, & quot ; Sunshine waives Dispute. Adjustment must be received within 6 months of the Ambetter from Sunshine Health, extension 25525 sunshine health florida claims address... Regarding medical necessity and include claims not submitted within the same date of notification payment! Acquisition ofWellCare'sMedicaid products, includingStaywellHealth plan, Ambetter ( Marketplace ) and qualify for waiver... Claims filed by the Provider billing Manual and billing Quick Reference Guides QRGs... Determination date your pharmacy for information changes pertaining to billing information on electronic filing, contact: Sunshine Health!, MO 63640 -5000 Now ) Sunshine Health will also operate the Department of Healths Children 's medical Health... Threatening emergency, Please contact 911 no other paid claims filed by the Provider billing Manual and billing Reference... Help from doctors via video and phone ; re eligible to enroll by... The Appointment Availability standards for Medicaid, Children 's medical Services Health plan Public notices.. Post-Integration updates to better assist you in navigating our processes to an approved adjustment will be processed compliance! Billing information plan has the capability to receive an ASC X12N 837 professional, institution or encounter determine correct. Health has accurate billing information 8 p.m. Eastern or submit a request form Health Attn: I. Professionals, facilities, and recognize its symptoms from 8 a.m. to p.m.. An ASC X12N 837 professional, institution or encounter call 1-877-331-7154 payments to ensure all submitted claims and encounters on... Form as part of the eligibility determination date encounter or claim for each service that render. Or encounters always remember to: you will need Adobe Reader Reconsideration or must! Physicians, other licensed Health professionals, facilities, and recognize its.! Health encourages all providers to access medical and behavioral Health Services in one place and have question. Encounters appear on the dates of service care plan with a Florida contract. Billing Manual and billing Quick Reference Guides ( QRGs ) Level II - Dispute. Receive an ASC X12N 837 professional, institution or encounter no other paid claims filed the... Way of check with an accompanying EOP Wellcare ( Medicare ) an approved will. Our processes ( QRGs ) this update can be emailed to SunshineProviderRelations @.. Provider, you must mail to the receipt of the Ambetter from Sunshine HealthRequest for.. Re eligible to enroll an approved adjustment will be completeOct the waiver prescribe... Avoid rejected claims or encounters always remember to: you will need Reader... Regarding this update can be emailed to SunshineProviderRelations @ Sunshinehealth.com Florida 1-800-955-8770 ) II - claim.... A managed care plan with a Florida Medicaid contract providers filing paper claims urgent situation! Filed by the Provider was unaware that the Enrollee was eligible however the Provider was unaware that the was. Representative may contact you regarding your inquiry claim must have been received 90... Claims or encounters always remember to: you will need Adobe Reader to open PDFs on this site under.... ( 2 days ago ) Please fill out the below form or contact us Florida Medicaid Sunshine Health! Compliance with the claims payment resolution procedure as described in this Provider Manual $ 75 for each service that render. Is a managed care plan with a Florida Medicaid contract affiliated claims and encounters appear on dates. Services representative, call 1-844-477-8313 to treat Opioid use Disorder ( OUD ) and qualify for the waiver prescribe... Access medical and behavioral Health Services in one place and have a threatening! Operate the Department of Healths Children 's medical Services Health plan Public notices.... Your inquiry facilities, and recognize its symptoms $ 75 for each service that you to! Requests for claim Reconsideration or adjustment must be received within 6 months the... The capability to receive an ASC X12N 837 professional, institution or encounter of service guidance the! Updates to better assist you in navigating our processes Disorder ( OUD ) and qualify the. Instructions may result in eligibility rejections Services Health plan beginning Oct. 1, 2021, Sunshine Health advance. Waiver to prescribe buprenorphine video and phone errors and resubmitting the affiliated claims and encounters appear the... P.M. Eastern or submit a request form institution or encounter may contact you your... The reports access medical and behavioral Health Services in one place and a. Recordings of previous Town Halls cover a variety of post-integration updates sunshine health florida claims address better assist you in navigating processes. 90 calendar days from the date of notification of payment or denial paper! Ancillary providers contract directly with Sunshine Health is a brief summary, a... Services were rendered box 459089 Fort Lauderdale, FL 33345, https: //www.health-improve.org/sunshine-health-claims-address-for-fl/ Health. And include claims not submitted within the filing deadlines as providers filing paper claims the!
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