Sunshine health insurance customer service.

And if you have a severe medical condition, our Care Managers will work with you, your PCP and managing providers to develop a plan of care that meets your needs and your caregiver’s needs. Call us at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). Ambetter from Sunshine Health's care management services can help you better manage your ...Sunshine healthcare have both. Read More. Laboratory Service. Advance clinical laboratory equipment for a range of hematology, immunoassay and biochemistry test. Read More. Opening Hours. Monday – Friday 8:00am – 9:00pm Saturday 8:00am – 9:00pm Sunday 8:00am – 5:00pm.For Brokers. Ambetter’s affordable coverage options help your clients stay healthy by offering a wide variety of valuable programs and tools. Check out the customizable sales materials and training presentation we’ve developed. Fliers and Plan information can be found on the Broker Portal.Sunshine Health Overview. Sunshine Health has 1.9 star rating based on 18 customer reviews. Consumers are mostly dissatisfied. 100% of users would likely recommend Sunshine Health to a friend or colleague.

Your Ambetter online member account provides many ways to get care, including finding a Primary Care Provider (PCP), locating an in-network Urgent Care Center, or even …Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders. Learn how to enroll in Medicaid health plans through Sunshine Health online and sign up for Medicaid in Florida with Sunshine Health.

Electronic Data Interchange (EDI) EDI support for HIPAA transactions is provided by Sunshine Health’s corporate office, Centene Corporation. For support, please contact our EDI Department at 1-800-225-2573, ext. 25525, or visit our website at SunshineHealth.com.

Sunshine Health is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Benefits include: Maintain control over bank accounts – You keep TOTAL control over ...Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders. Learn how to enroll in Medicaid health plans through Sunshine Health online and sign up for Medicaid in Florida with Sunshine Health.A session will be held on June 27, 2024, from 1:30 to 4 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today.Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply.

Member Services MMA, SMI 1-866 -796 -0530 Monday-Friday from 8 a.m. to 8 p.m. Eastern Member Services CWSP 1-855 -463 -4100 Monday-Friday from 8 a.m. to 8 p.m. Eastern Verifying Member Eligibility These suggestions are not a guarantee of coverage. • Verify member eligibility by using the Sunshine Health Secure Provider Portal. •

Call MTM’s Ride Schedule Line at 1-844-399-9469 (TTY 711) between 8 a.m. to 7 p.m. Eastern, Monday – Friday and 8 a.m. to 5 p.m. Eastern Saturday; Rides must be scheduled 24 hours (one business day) in advance, includes day of call but not day of appointment.

Your LTC care manager will help you get the care you need and work with you to develop a person-centered care plan to achieve your unique health goals. If you have any questions, we’re here to help Monday through Friday, 8 a.m. to 8 p.m. You can call us at any time, even after business hours, to reach our 24-hour Nurse Advice Line.Use 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 ...Sunshine Health is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Benefits include: Maintain control over bank accounts – You keep TOTAL control over ...WellCare and Sunshine Health are joining health plans. In Florida, WellCare of Florida* and Sunshine Health are bringing our health plans together to better serve our members, providers, partners and communities. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in …CMS Plan. 850-245-4200. [email protected]. Mailing Address Office of the CMS Managed Care Plan 4052 Bald Cypress Way, Bin A06 Tallahassee, FL 32399. Categories Uncategorized.Member Services MMA, SMI 1-866 -796 -0530 Monday-Friday from 8 a.m. to 8 p.m. Eastern Member Services CWSP 1-855 -463 -4100 Monday-Friday from 8 a.m. to 8 p.m. Eastern Verifying Member Eligibility These suggestions are not a guarantee of coverage. • Verify member eligibility by using the Sunshine Health Secure Provider Portal. •

Contact Us If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m.200 East Gaines Street. Tallahassee FL 32399. (850) 413-3140. https://www.floir.com. BBB records show a license number of 87109/NAIC13148 for this business, issued by Florida Office of Insurance ...Jan 1, 2024 · You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions. Provider Services SH _5355 Durable Medical Equipment (DME) Quick Reference Guide Important Contact Information Service Name Product Phone Number Hours of operation Provider Services All products 1-844-477-8313 Monday-Friday from 8 a.m. to 8 p.m. Eastern Pharmacy Services . All products 1-800-460-8988,Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through through our Medicaid, Long Term Care and specialty plans.Member Services MMA, SMI 1-866 -796 -0530 Monday-Friday from 8 a.m. to 8 p.m. Eastern Member Services CWSP 1-855 -463 -4100 Monday-Friday from 8 a.m. to 8 p.m. Eastern Verifying Member Eligibility These suggestions are not a guarantee of coverage. • Verify member eligibility by using the Sunshine Health Secure Provider Portal. •Attn: Individual Customer Service P.O. Box 9106 Wellesley Hills, MA 02481 Telephone: 1-800-862-6266 Fax: 1-888-863-8311 E-mail: Customer Service. For overnight mail: Sun Life ... (Wellesley Hills, MA) in all states, except New York. In New York group insurance policies are issued by Sun Life and Health Insurance Company (U.S.) ...

You are required to submit an encounter or claim for each service that you render to a Sunshine Health Enrollee. If you are the provider for a Sunshine Health Enrollee and receive a monthly capitation amount for services, you must file a “proxy claim” (also referred to as an “encounter”) on a CMS 1500 for each service provided.Since you will have …View the profiles of professionals named "Valentina Urdaneta" on LinkedIn. There are 30+ professionals named "Valentina Urdaneta", who use LinkedIn to exchange information, ideas, and opportunities.

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 processes and many more topics. Ancillary MMA/SMI/CW Including Home Health, PDN (PDF) The virtual training sessions are focused on the 2024 CMS Model and ICD-10 Diagnosis Code Updates. Children who consumed these products should undergo a blood test to check for lead exposure. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. Pay Your Premium. Quickly and securely pay your monthly premium. Pay Now. Login to Your Account. Access your secure member account information any time. Login Now. My Health Pays Rewards.Step 1. Visit a participating CVS ® store.*. Step 2. Look for blue labels and 100s of eligible items across the store. Step 3. Redeem at the register or pay with your Benefit Network Card.*.In today’s fast-paced world, having access to reliable customer service is essential. When it comes to insurance companies, being able to reach them quickly and easily can make all...Employees of CVS have access to training courses at CVS LearNet that help them efficiently fulfill their job requirements. The courses range from customer service modules and regis...Call Ride Assist (Where’s My Ride) at 1-877-659-8413.This line is staffed 24 hours each day, seven days a week.

Medicaid Managed Long Term Care for Medicaid enrollees 18 years and older. You also have to meet Nursing Facility level of care. Sunshine Health has the expertise to work with Medicaid and Long Term Care members to improve their health status and quality of life. This is done through the provision of quality services to meet the care needs of ...

Attention Members: New ID Card Effective January 1, 2024. We are sending members a new card for 2024 because the Pharmacy Benefit Manager (PBM) is changing to Express Scripts.

Sunshine Health is a Managed Care Organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve Medicaid and other government services program members. Sunshine Health has developed the expertise to work with Medicaid members to improve their health status and quality of life.Call Ride Assist (Where’s My Ride) at 1-877-659-8421.This line is staffed 24 hours each day, seven days a week.Medicaid Managed Long Term Care for Medicaid enrollees 18 years and older. You also have to meet Nursing Facility level of care. Sunshine Health has the expertise to work with Medicaid and Long Term Care members to improve their health status and quality of life. This is done through the provision of quality services to meet the care needs of ...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 to you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Member Resources. Sunshine Health provides our members with the resources they need to get the best care possible. In this section, we provide information, education and resources, including your Member Handbook. If you need help with any of the information, please call us at 1-866-796-0530 (TTY 1-800-955-8770 ). Sunshine Healthis among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through our Medicaid, Long Term Care and specialty plans. Our innovative programs and services are created and led by people passionate about ...Provider Services SH _5355 Durable Medical Equipment (DME) Quick Reference Guide Important Contact Information Service Name Product Phone Number Hours of operation Provider Services All products 1-844-477-8313 Monday-Friday from 8 a.m. to 8 p.m. Eastern Pharmacy Services . All products 1-800-460-8988,Contacting Member Services. You may call us at 1-866-796-0530, or TTY at 1-800-955-8770, Monday through Friday, 8 a.m. to 8 p.m., but not on state approved holidays (like Christmas Day and Thanksgiving Day). When you call, make sure you have your identification card (ID card) with you so we can help you. If you lose your ID card, or if it is ...

Authorization Call Center Phone Numbers. If you wish to contact Evolent (formerly National Imaging Associates, Inc.) directly, please use the appropriate toll-free number for the respective health plan. Click here for a complete list of telephone numbers.Contact Us If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m. Get answers about billing and payments or learn about enrollment and benefits. Contact us if you still need help. Watch our step-by-step guide on how to use your Ambetter Health online member account.***. Use your account at any time to manage your plan, find information about your coverage, access options for care, view your rewards and much ... Don’t wait for an in-person visit. You can get easy access to a doctor when you want to see one. Sunshine Health offers telehealth services at no cost to you. This is your easy, 24-hour access to in-network providers for non-emergency health issues. Get medical advice, a diagnosis or a prescription. Do it all by phone or video. Instagram:https://instagram. g30s vs g30sfjetblue flight 2259elite ink dothan alshoprite current ad Sunshine Health MMA (Medicaid) Sunshine Health Managed Medical Assistance is a managed care plan providing Medicaid and enhanced benefits to Florida residents of all ages who qualify for Medicaid. Provider Services for Medicaid. 866-921-6769. Members: call the number on the back of your ID card or go to the plan site. easley yard salehow to get my afterpay limit back up Ambetter: 1-833-750-1160. For questions on the formulary or a drug that is provided through a retail pharmacy or specialty pharmacy call. Ambetter, Medicaid, Serious Mental Illness and Child Welfare: 1-800-460-8988. Children's Medical Services Health Plan: 1-833-705-1351. For questions on advanced imaging, call 1-866-214-2569.Our Benefits. Better Coverage. Better Perks. Ambetter Health is on a Mission for Better, and that means better coverage and better perks for you. Beyond great everyday benefits like Virtual 24/7 Care*, members have access to exclusive programs like My Health Pays®** and Ambetter Perks. We’re adding value to your affordable health insurance plan. how many satchel charges for a wooden door 118 total complaints in the last 3 years. 61. View customer complaints of Ambetter from Sunshine Health, BBB helps resolve disputes with the services or products a business provides.Sunshine Health has contracted with the following vendors for service: Access Behavioral Health. External Link. (Medicaid, Child Welfare Specialty Plan, Long Term Care, Serious Mental Illness, Children's Medical Services Health Plan) 1-866-477-6725. [email protected].