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Sunshine State Health Plan Claim Filing Instructions January Form
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People also ask
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What is the payor code for sunshine health?
Sunshine Health's Payer ID is 68069. -
Does Florida Medicaid accept paper claims?
We want your claim submissions processed as efficiently as possible. Electronic claim submission (EDI) is the preferred method for fast and accurate processing. If you must submit paper claims, you must mail to the appropriate payer's P.O. Box based on date of service guidance below. -
What is the timely filing form Sunshine Health Florida?
Timely Filing Guidelines Initial Filing: 180 calendar days of the date of service Coordination of Benefits (Sunshine Health as Secondary); 180 calendar days of the date of service or 90 calendar days of the primary payer's determination (whichever is later). -
Is Florida Medicaid the same as sunshine health?
Sunshine Health is a Florida Medicaid health plan that has been providing services in Florida since 2009. -
What is the timely filing limit for Sunshine State Health Plan corrected claims?
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. -
Is Staywell the same as sunshine health?
Your Long Term Care plan, Staywell Health Plan, is joining Sunshine Health. You get to keep the same great benefits, plus get more benefits from Sunshine Health. -
Does Florida Medicaid accept paper claims?
We want your claim submissions processed as efficiently as possible. Electronic claim submission (EDI) is the preferred method for fast and accurate processing. If you must submit paper claims, you must mail to the appropriate payer's P.O. Box based on date of service guidance below. -
What is the timely filing limit for Medicaid in Florida?
A clean claim for services rendered must be received by Medicaid or its fiscal agent no later than 12 months from the date of service.
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