Details: If you need these services, contact Ambetter from Sunshine Health at 1-877-687-1169 (Relay FL 1-800-955-8770). Find and enroll in a plan that's right for you.Â, Find everything you need in the member online account. The email is not encrypted and is not transmitted in a secured format. Access your secure provider information any time. Find everything you need in the member online account. Don't see your state listed? Ambetter network providers are important to us, because our members rely on your for quality care. These include quick reference guides and information designed to assist you in using the RadMD Website to … Learn more. Providers will continue to submit their claims to Ambetter from Sunshine Health Providers are strongly encouraged to use EDI claims submission In the event of a prior authorization or claims payment denial, providers may appeal the decision through Ambetter from Sunshine Health Providers should follow the instructions on their non- Be Prepared & Set Up Your Telehealth Account. You can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). They’ve always been able to count on you. NEED HEALTH INSURANCE? Learn More. Because protecting peoples’ health … Learn More. Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). Set up and activate your account online or call the Ambetter Telehealth customer number for help: Telehealth Phone: 1-800-835-2362. Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). Health Insurance Marketplace. Depending on family size and income, a person may even qualify for help to pay their monthly premium. Ambetter from Arizona Complete Health does not accept responsibility or liability for any loss or damage arising from the use of email. © Copyright 2021 Celtic Insurance Company. Required fields are marked with an asterisk (*). If you are an Ambetter member you can reach us 24/7 through your online member account. Select your state below to see plans in your area. How do I access the Ambetter from Learn More. We regularly review the provider network and make decisions about which providers remain in the network and if additional providers are needed, based on relevant factors that could include: The contact information for those agencies is: Ambetter from Sunshine Health at 1- 877-687-1169 (Relay Florida: 1-800-955-8770); Florida Office of Insurance Regulation, 200 East Gaines Street, 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. Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). Learn More. Ambetter Phone number - Claims address Payer ID- Member . Providers should check claims status at the Ambetter from Sunshine Health website at Ambetter.SunshineHealth.com Who should a provider contact if they want to appeal a prior authorization or claims payment denial? If you choose to visit a provider that is not part We would love to hear from you! Learn more about our health insurance resources for providers. Providers are asked to please follow the appeal Here you can download policies and procedures specific to both ordering providers and imaging facilities. We partner with Primary Care Providers (PCPs), specialists and other medical providers. Learn More. Welcome to the Ambetter from Ambetter of Arkansas page. You’re dedicated to your patients, so we’re dedicated to you. The email is not encrypted and is not transmitted in a secured format. The Health Insurance Marketplace is an online shopping mall of healthcare plans. To take full advantage of your Ambetter coverage, it is important to only use in-network providers. Every year, Medicare evaluates plans based on a 5-star rating system. We would love to hear from you! We’re dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Or, call us at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). Please fill out this quick form and we will be in touch with you shortly. View our Preferred Drug List to see what drugs are covered. You will need Adobe Reader to open PDFs on this site. If you don’t have your account yet, setting it up is quick and easy – get started now! Select your state to contact an Ambetter representative in your service area. All rights reserved. Contact us. By communicating with Ambetter from Arizona Complete Health through email, you accept associated risks. You can call Ambetter at (877) 617-0392 toll free number, fill out a contact form on their website www.ambetterhealth.com, or write a letter to Ambetter, 4349 Easton Way, Suite 300, Columbus, Ohio, 43219, United States. Interested in becoming an Ambetter provider? Common Questions About Ambetter and Blue Cross Blue Shield Insurance. Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal. Members have access to Ambetter Telehealth, which provides convenient, 24-hour access to in-network Ambetter healthcare providers for non-emergency health issues. Give us a call or reach us through your online member account. Ambetter offers affordable health care coverage for individuals and families. Sunshine Health P.O. If you need these services, contact Ambetter from Sunshine Health at 1-877-687-1169 (Relay FL 1-800-955-8770). Sunshine Health's plan is called Ambetter. Use our helpful resources to deliver the best quality of care. You can also reach us from 8am-8pm EST at 1-877-687-1169 (Relay Florida 1-800-955-8770). Use our tool to see if a pre-authorization is needed. Use your ZIP Code to find your personal plan. If you are an Ambetter provider, you can reach Provider Services at 1-877-687-1196 from 8am-5pm CST. Ambetter from Sunshine Health Telehealth Provider List Updated October 13, 2020 CITY PRACTICE NAME PROVIDER FIRST NAME. Please contact the plan for further details. Health Savings Account Benefits | Ambetter from Sunshine . And, as a partner with Ambetter, you’ll be able to count on us. If you believe that Ambetter from Sunshine Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a … Ambetter contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms. Ambetter from Sunshine Health (Ambetter) makes it easier for you to get the care you deserve—from the doctor you trust. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager Andrew Dietz. In this book, you’ll find a list of all of the providers in our network. And if you’ve lost access to insurance, we want to help you get the coverage you need. To contact a Provider Services representative, call 1-844-477-8313. Need health insurance? To appeal a claim that was denied by Ambetter, the member should contact 1-877-687-1197. Providers may contact the Provider Assessment Department toll-free at 1-888-972-9642 with any questions. Ambetter from Sunshine Health Now Offering Marketplace Health Insurance Coverage in 33 New Counties From Nov. 1 to Dec. 15, 2020, Floridians in 63 counties can enroll in Ambetter … That way, you can focus on your patients. All rights reserved. Use your ZIP Code to find your personal plan. If you have questions or concerns about your health insurance coverage, we'd love to hear from you. At the end of the day, our job is to make yours easier. As an Ambetter network provider, you can rely on the services and support you need to deliver the highest quality of patient care. Ambetter can help. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Telehealth Website: [TELEHEALTH_WEB] By communicating with Ambetter from Sunshine Health through email, you accept associated risks. Ambetter from Sunshine Health does not accept responsibility or liability for any loss or damage arising from the use of email. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal. Find and enroll in a plan that's right for you. What you need to know about the Coronavirus. Blue Cross Blue Shield If you don’t have your account yet, setting it up is quick and easy –get started now! What you need to know about the Coronavirus. Skip to Main Content. Also, this year Ambetter from Sunshine Health is debuting its enhanced My Health Pays TM program , where members can earn points for eating right, moving more and being well. Find Ambetter coverage in your state. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal. Health Details: Ambetter from Sunshine Health offers an easy way to save & pay for approved healthcare costs. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Need health insurance? Our members’ health is important to us, now and always. By communicating with Ambetter from Sunshine Health through email, you accept associated risks. Ambetter from Sunshine Health does not accept responsibility or liability for any loss or damage arising from the use of email. If you live in CA or NY, you can enroll in coverage with Health Net (CA) or Fidelis Care (NY). For questions on … Disclaimer: This form will send your message to Ambetter from Sunshine Health as an email. The Formulary, pharmacy network, and/or provider network may change at any time. There are agencies that can help if you want to continue your coverage after it ends. Or, call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). Need health insurance? You will need Adobe Reader to open PDFs on this site. Skip to Main Content. Learn more about the Ambetter Health Savings Account Benefits. Need health insurance? Sunshine Health provides the tools and support you need to deliver the best quality of care. That’s why you can count on us to cover COVID-19 testing and treatment. Ambetter.SunshineHealth.com How can providers check claims status? Please fill out this quick form and we will be in touch with you shortly. Health Details: Ambetter Superior HealthPlan Member and Provider Services Phone Number: 877-687-1196: Ambetter of North Carolina Inc: 68069: 12515-8 Research Blvd, Suite 400 Austin, TX 78759: Ambetter of North Carolina Member and Provider Services Phone Number: 833-863-1310: Ambetter of Tennessee: 68069: 12515-8 … By communicating with Ambetter from Magnolia Health through email, you accept associated risks. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal. Review clinical and payment policy information. NIA manages non-emergent outpatient imaging procedures for Ambetter from Sunshine Health membership through NIA’s Free-Standing Imaging Facilities coupled with Ambetter from Sunshine Health in-office providers and hospitals. Ambetter from Magnolia Health does not accept responsibility or liability for any loss or damage arising from the use of email. For questions on the formulary or a drug that is provided through a retail pharmacy call, 1-800-311-0539. You will receive notice when necessary. Before you can use Ambetter Telehealth, you need to have an account. Ambetter Sunshine Health Member and Provider Services Phone Number: 877 … Stay up to date with the latest news and announcements. If you have a question about Ambetter from Superior HealthPlan or your affordable health insurance coverage, please contact us. Learn More. Disclaimer: This form will send your message to Ambetter from Sunshine Health as an email. Need health insurance? © Copyright 2021 Celtic Insurance Company. PROVIDER LAST NAME PHONE NUMBER: Alafaya AdventHealth Medical Group Family & Internal Medicine At Avalon Park: Bernice Pritchett: 407-303-6285 Alafaya: If you are an Ambetter member you can reach us 24/7 through your … Need health insurance? For questions on medical or behavioral health authorizations, call 1-844-477-8313. Ambetter has you covered, with plans available in 20 states nationwide. If you believe that Ambetter from Sunshine Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, … Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770).

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