As a local plan, we recognize the healthcare needs of our . Provider's Office Contact Name Provider Telephone# Please note the following in order to avoid delays in processing provider appeals: . Operating Status Active. Medicare Plan Name: HealthSun HealthAdvantage Plan (HMO) Location: Broward, Florida. Co-workers are friendly and have maintained in contact since. HealthSun Health Plans is a South Florida Medicare Advantage Plan Sign In . Contact; Careers; About HealthSun; Provider Directory . If you're a PHCS provider please send all claims to: PHCS P.O. Company Type For Profit. Hospitals; Individual Practices; . . Box 5199, Westborough, MA 01581 rev. Health Insurance. This is a solicitation for insurance. A separate Provider Appeal Form is required for each claim appeal (i.e., one form per claim). I heard many good things about this company when it was managed by previous management. Headquarters Regions Greater Miami Area, East Coast, Southern US. For just $40 a month you can take control of your health! For questions on the formulary or a drug that is provided through a retail pharmacy call, 1-800-311-0539. The employees are very nice. jdoe@healthsun.com) and first last (ex. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). As a local plan, we recognize the healthcare needs of our . And because we're a five-star plan, you can enroll year-round. . . Provider Services: (877) 915-0551. What is HealthSun's phone number? We have a large network of providers throughout the states of Florida and Texas with more states soon to come! Download the request form for MCG Behavioral Health Care Guidelines with Specific Level of Care Criteria. Laura Soler . Healthsun Health Plans. HealthSun Health Plans, Inc. 1-305-448-8100 ext 10822 providerservices@healthsun.com: Humana Health Insurance Company of Florida, Inc. 1-800-457- HealthSun Health Plans | 991 followers on LinkedIn. Contact Us. jane.doe@healthsun.com) being used 70.7% of the time. Operating Status Active. Phone Number (305)234-9292. For questions on medical or behavioral health authorizations, call 1-844-477-8313. Member Services: 1-305-447-4458 TTY users 1-877-206-0500. Contacts 59 About HealthSun Health Plans has 1 current employee profile, CFO Robert Armstrong. Please provide your contact information so we can easily reach you with any questions. Full Payer List. Monday to Friday, 9am—5pm. Ancillary (AAC, ASC, Cochlear Implant, Dialysis, DME, Hospitalist . Main Corporate Phone Number (786) 578-0965 Provider Relations (305) 422-9300 Medical Management - Authorizations Prompt 1 Medical Management - Authorizations Fax (786) 578-0291 Last Funding Type Private Equity. Get Verified Emails for HealthSun Health Plans . Health Care Services. Take control of your health today! To request a copy by phone please call 305.514.5300 or 1.855.541.5300. Contact Us (855 . Serving more . Select your plan Select Healthfirst Leaf & Leaf Premier Plans Healthfirst Essential Plans Medicaid Managed Care and Child Health Plus Personal Wellness Plan Medicare Advantage Plans Senior Health Partners Total Plan and Pro . Find out how you can enroll Or compare plans. 2021 Medicare Advantage Plan Details. To update your information, Contact your provider services executive by fax at 1-866-449-5668 or call the CarePlus Provider Operations inquiry line at 1-866-220-5448, Monday - Friday, 8 a.m. - 5 p.m., Eastern time. Confirm member Name, Last Name, HS number, Phone Number, Address and Order Month prior to submission OTC Items Quantity Limitations On July 1, 2020 HealthSun Health Plans enacted quantity limits on all OTC items: There is a quantity limit of five (5) . If you are not contracted with Sunshine Health, complete the Network Participation Request Form below. Get 2020 Medicare Advantage information on HealthSun MediMax (HMO) from HealthSun Health Plans. Address Secure Email General Inquiries info@healthsun.com A free inside look at Healthsun Health Plans salary trends based on 28 salaries wages for 24 jobs at Healthsun Health Plans. Founded Date 2005. Cecile Campo Director of Reporting and Data Analysis- Anthem Inc. Miami, Florida, United States 500+ connections Annelys Zamora. . Email: info@simplyhealthcareplans.com. Contact Healthfirst. HealthSun Health Plans. Salaries posted anonymously by Healthsun Health Plans employees. You can't trust what they are saying. Our valued members are serviced through our extensive provider network and dedicated professionals. Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Miami, Florida. HealthSun Health Plans is a South Florida Medicare Advantage Plan Sign In . You can reach the Behavioral Health Services at 1.877.221.9295 (24 hours a day) or email behavioralhealthdocuments@healthplan.org with any questions. Sun Health & Dental offers the most benefits and best services in the market. Contact. 2022 Provider and Pharmacy Directory. Serving more than 30,000 members in Dade and Broward County, HealthSun is one of the fastest growing health plans . More Provider Information; . Phone number is required. For questions on advanced imaging . Phone Number (305)234-9292. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Medicare Plan Name: HealthSun HealthAdvantage Plan (HMO) Location: Miami-Dade, Florida. -or- You can contact Medicare at 1-800-MEDICARE (1-800-633- 4227), 24 hours a day, 7 days a week. . You can call us if you have a question about your insurance plan or a health problem. Reminder. Headquarters Regions Greater Miami Area, East Coast, Southern US. Title: Microsoft Word - HPI Provider Appeal Form_rev 11-08.doc Jeff has held several positions since joining The Health Plan in 1998. Non-EDI customer service and assistance requests will not focus on the generation, processing, and/or transmission of a HIPAA standard transaction. What is HealthSun's official website? You can do this by selecting one from the Provider Directory you received from HealthSun Health Plans or you may call Member Services Department at 305-447-4458 or toll free 1-877-336-2069, TTY users should call 1-877-206-0500. Managing the cost of specialty care doesn't require abrasive physician oversight. Read More. Download this resource . View Wendy Pantoja's business profile as Provider Contracting Network Specialist at HealthSun. Find contact's direct phone number, email address, work history, and more. Member Services: 1-305-447-4458 TTY users 1-877-206-0500. This information is not a complete description of benefits. Please select your primary service type: *. During October through March, we are available 7 days a week from 8am to 8pm. 2022 Medicare Advantage Plan Details. From Business: Call Today at (855) 828-8942, TTY 711 For over 40 years, UnitedHealthcare and its affiliates have provided Medicare plans for people age 65 or older and people…. Dec 27, 2017. Contact Wendy directly . Our behavioral health prior authorization and review forms, located to the right, can be transmitted electronically via our provider secure web portal. Your Healthfirst Provider Portal account will be deactivated after 90 days of inactivity. $25 Million. Our valued members are serviced through our extensive provider network and dedicated professionals. Insurance Provider: HealthSun Health Plans: Plan ID: H5431-006-000: Plan Year: 2020: CMS . , Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health . Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). HealthSun Health Plans | 991 followers on LinkedIn. During October through March, we are available 7 days a week from 8am to 8pm. HealthSun's phone number is (305) 234-9292. Contact. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. Contact Us. HealthSun Health Plans, Inc uses 3 email formats. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, plan ratings, accepted doctors and more. All facilities and non PHCS providers please send all claims to: Group Benefit Services Claim Department P.O. HealthSun Health Plans Inc can be contacted at (877) 336-2069. Prior to being named THP's president & CEO, he served as the president & COO for two years and chief financial officer for over ten years. Search Healthsun Health Plan PayerID HESUN and find the complete info about Healthsun Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more Enter Account #, NPI or Tax ID: Enter Email Address: Enter Username: Enter Email Address: You must have both Part A and . Our office will be closed on Federal Holidays, Thanksgiving, and Christmas. To get the most up-to-date information about HealthSun Health Plans network providers in your area, you can use the search tool on this page or see below to download the Addendum to the . Provider network updated 09/07/2021. MIA Application: . This site is designed to help you manage your daily operations and provi You can call 877-336-2069 or send a request in writing to HealthSun Health Plans 9250 W Flagler St Suite 600, Miami, FL 33174. Founded Date 2005. Additions only. Welcome to best medical plan in Florida. Contacts Ettie Schwartz Vice President of Finance and Operations VP Finance 1 email found Juan Mora Senior Vice President VP Operations 1 email found 1 phone number found Sergio Rumie Vice President of Network Sales & Marketing VP Marketing , Sales HealthSun is an integrated Medicare Advantage health plans and healthcare delivery networks. As president & CEO, Jeff works closely with the board of directors and strives to look for opportunities to reduce the cost of care . Eligibility Verification - Prompt 1; . Box 21155 Eagan, MN 55121. The criteria that you request should be relevant to your scope of practice and the level of care that you provide to Carisk enrollees. Grove, Florida. Providers. Health Plans Inc., P.O. The most common HealthSun Health Plans, Inc email format is first '.' last (ex. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). RCM Provider; Practice Consulting; Denial Management; More; Facilities. 125. janedoe@healthsun.com) . Categories. A Medicare provider of health plans, this company is highly regarded by Medicare and CMS. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Working at HealthSun Health Plans is indeed a great satisfaction, very professional and willing to keep the employees at ease. HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Call Provider Services at 1-844-477-8313 or Fax 1-866-614-4955 with questions about claims, credentialing or network status. For questions on specialty drugs, call 1-866-796-0530. HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Provider Name Provider's Office Contact Name Provider Telephone# Please note the following in order to avoid delays in processing provider appeals: Incomplete appeal submissions will be returned unprocessed. securemail.healthsun.com. Plan ID: H5431 - 001 - 0 Click to see other plans. . As a HealthSun Health Plans member you will need to choose a PCP. Enrollment in Leon Medical Centers Health Plans depends on contract renewal. Contact Member Services if you need more information on how to end your membership. 1-855-949-3668. 1 . Welcome to the Central Health Medicare Plan provider site. OPEN NOW. HealthSun Health Plans. Featuring $0 copays and peace of mind for South Florida Medicare beneficiaries. Enrollment in HealthSun Health Plans depends on contract renewal. Note: If your practice is managed by a . Ways providers may place OTC Orders 1. Every year, Medicare evaluates plans based on a 5-star rating system. If you have recently obtained a billing or registration number or have questions, please call Provider Relations at 855-514-5300 so we can update your billing information or assist you in obtaining a number. Every year, Medicare evaluates plans based on a 5-star rating system. Contact Us; Loading. Provider Relations Specialist at HealthSun Health Plans, Inc Back to Search. Fax requests for treatment to 1.866.616.6255. . An excellent company to work for, adherring to the highest . A member of our team will contact you to relay if a decision is made to move forward with the contracting process within your region. Providers trust in New Century Health's nearly two decades of experience managing two-sided specialty care risk to help oncologists and cardiologists . Project Manager (Former Employee) - Miami, FL - October 22, 2020. 11/2008 . Customer Service: 1.877.847.7901: Referrals/Prior Authorization (listed below) Fully Insured (HMO, PPO . 305-448-8100 (Office #) annelys.zamora@healthsun.com our Health Plan and to ultimately improve the way that local health care is delivered. . . Enter Account #, NPI or Tax ID: Enter Email Address: Enter Username: Enter Email Address: Contact Email info@healthsun.com. Call Member Services at (844) 44 (SOLIS) 76547 / TTY 711 for more information. 8000 Governors Square Blvd #400 , Miami Lakes, FL, 33016; 954-492-7149 ; . Company Type For Profit. Enrollment . Leon Medical Centers Health Plans is an HMO plan with a Medicare contract. Solis Health Plans Inc. is an HMO plan with a Medicare contract. Our hours of operation are Monday through Friday, 8am to 8pm. Our hours of operation are Monday through Friday, 8am to 8pm. Dear guest, . Disclosure of Ownership Form (PDF) Disclosure of Ownership Form (PDF) - facilities. Find Covid-19 Information for Members and Providers. Medicaid Transportation (Non-Emergency) 1-866-201-9969. Collective Health. . HealthSun Health Plans Inc is located at 9250 W Flagler St Suite 600, Miami, FL 33174. Our Provider Compliance Alerts provide information and reminders to HealthSun Providers. Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. Posted: (8 days ago) Call us today. Top Competitors of HealthSun. Trusted by Oncologists and Cardiologists. HealthSun Health Plans. If your question has not been answered, you can contact us: Email: helpdesk@healthsun.com Phone: 305.448. . Providers can contact the D-SNPs with inquires at the following: DSNP Name Phone Number Email/Website Aetna Health, Inc. Health Care Services. LOAP/Practitioner Roster Form (Excel). HealthSun Health Plans General Information Description. Contact Email info@healthsun.com. Please contact HealthSun Plan's Provider ServicesHealth Inquiry Team at (305) 4488100 x82- or Customer Service: 1-866-409-1221 . HealthSun Health Plans Inc in Miami, FL - (877) 336-2069 HealthSun Health Plans Inc ( 57 Reviews) 9250 W Flagler St Suite 600 Miami, FL 33174 (877) 336-2069 Claim Your Listing CALL DIRECTIONS REVIEWS Chamber Rating 3.6 (57 reviews) About HealthSun Health Plans Inc is located at 9250 W Flagler St Suite 600 in Miami, Florida 33174. Enrollment in Solis Health Plans, Inc. depends on contract renewal. Back to Search. Senior Data Analyst at HealthSun Health Plans, Inc Miami, FL. Miami Account Manager. Enrollment in HealthSun Health Plans depends on contract renewal. Your health deserves a five-star plan. Healthsun Health Plans, Inc. provider.healthsun.com. Phone numbers must have the appropriate number of digits (333) 333-4444. . TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security. Plan ID: H5431 - 012 - 0 Click to see other plans. File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans You will then need to contact Provider Services or your Network Account Manager to restore portal access. The company's health plan and healthcare delivery network offers a unique delivery model that provides tighter care coordination through primary care, pharmacy, transportation services, a narrow network of specialists and integrated . You have successfully applied to the HealthSun Health Plans Provider Portal. TTY Español: 1-888-867-4132. . Insurance. TTY English: 1-888-542-3821. For more options and for hours of operation, visit our Contact page. Anthem, one of the . Provider Services: 877-999-7776: Member Services Toll Free: 877-336-2069: TTY: 877-206-0500: Fax: 305-234-9275: Hours of Operation. sshdevenv 2022-02-28T10:39:19-08:00. Contact; Blog; Filter your search; Search; ICD 9-10 . You must have both Part A and . After the total drug costs paid by you and the plan reach $4,430, up to the out-of-pocket threshold of $6,350. Serving more . 8000 Governors Square Blvd #400 , Miami Lakes, FL, 33016; 954-492-7149 ; . Our . Contact Us Shopping/Enrollment Assistance . The new management is reckless and back stabbing. An insurance agent may contact you. Access Requested: . Operator of an integrated Medicare advantage health plan and healthcare delivery network in South Florida. Discover more about . We highly recommend you to consult this site regularly for information on new Compliance Alerts and other information that will assist our providers in their compliance efforts. We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. Box 4368 Lutherville, MD 21094 Get HealthSun Health Plans Inc reviews, ratings, business hours, phone numbers, and directions. To contact a Provider Services representative, call 1-844-477-8313. Search Healthsun Health Plan PayerID HESUN and find the complete info about Healthsun Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Full Payer List. Other common formats are first_initial last (ex. Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Miami, Florida. Anthem Inc. has officially completed its acquisition of Miami-based HealthSun, one of the fastest-growing integrated Medicare Advantage health plans in Florida. Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: 305-234-9275. . Categories. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. HealthSun is an integrated Medicare Advantage health plans and healthcare delivery networks. . HealthSun Health Plans. Health Insurance. Last Funding Type Private Equity. Welcome Central Health Medicare Plan Providers. Please do not submit a full roster. This plan is available in FL.
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