Find company research, competitor information, contact details & financial data for Healthsun Health Plans, Inc. of Miami, FL. Limitations and exclusions may apply. You can , https://healthsun.com/for-members/forms-documents/, Health (2 days ago) Determinations, Grievances, and Appeals - HealthSun. Access the most extensive library of templates available. This rating has improved by 21% over the last 12 months. Any information we provide is limited to those plans we do offer in your area. Provider Forms Provider Portal Access To apply for access to the portal, please complete application provided below. 877-207-4900. Get the latest business insights from Dun & Bradstreet. I have thoroughly enjoyed working with and getting to know the Summit team., Integrated Medicare Advantage healthcare delivery network, Delivered the highest level of care and clinical outcomes to a medically complex, dual-eligible patient population throughout a phase of meaningful growth, Expanded membership to more than 40,000 members while growing revenue and EBITDA at a CAGR of 22% and 31%, respectively, Received a 5 STAR rating from the Center for Medicare and Medicaid Services (CMS), ranking in the 97th percentile for clinical quality and member satisfaction, Acquired by Anthem, Inc. (NYSE: ANTM) in 2017. All fields marked * need to be filled in. Please note, if you are a non participating provider, you are required to fill out the BA Agreement provided below. Please note, if you are a non participating provider, you are required to fill out the BA Agreement provided below. Morning will Use professional pre-built templates to fill in and sign documents online faster. 0
Our office will be closed on Federal Holidays, Thanksgiving, and Christmas. mi+Fo{ (r'g[G?Qo^jl`%eiA9Iu8p_T_=^Hv]W&fKNC?+]u)lo*^o,OM\3 +kk+x7|U$d:B{-^
*g| TTY. Enrollment in HealthSun Health Plans depends on contract renewal. Prior authorization forms below are only for plans using AchieveHealth CMS. An appeal to review and change a coverage decision we have made on your medical care or prescription drug coverage. Get your online template and fill it in using progressive features. View our Summary of Benefits for plans and service areas available to you. Provider Services. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare. A good organization is the sum of all its parts; a great one is so much more. To apply for access to the portal, please complete application provided below. Benefits may vary by carrier and location. Every year, Medicare evaluates plans based on a 5-star rating system. Download the record or print out your PDF version. Our office will be closed on Federal Holidays, Thanksgiving, and Christmas. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare. During October through March, we are available 7 days a week from 8am to 8pm. Highest customer reviews on one of the most highly-trusted product review platforms. Health (2 days ago) File your complaint online via CMS by submitting the Medicare Complaint Form. 877-336-2069. Recruited a Chief Financial Officer and Head of Business Development with significant managed care expertise. Our office will be closed on Federal Holidays, Thanksgiving, and Christmas.
We do not offer every plan available in your area. (2 days ago) Complete GRIEVANCEAPPEAL FORM - Healthsun Health Plans online with US Legal . 4808 0 obj
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Our hours of operation are Monday through Friday, 8am to 8pm. 2022 Summit Partners. Featuring benefits with copays as low as $0 and peace of mind for South Florida Medicare beneficiaries. 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. - HealthSun Health Plans. Summit helped to build an independent Board of Directors, recruiting two experienced Medicare Advantage executives. FEMININE HEALTH. 5194 0 obj
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Health (2 days ago) Provider Portal Access. Unused amounts do not roll over to the next month or year. Learn more about HealthSun Health, Inc. Medicare Advantage Plans with Part D coverage, Mon Fri 7a.m. 10 p.m. Our state-specific browser-based blanks and clear guidelines eliminate human-prone faults. Take advantage of the quick search and powerful cloud editor to create a correct GRIEVANCEAPPEAL FORM - Healthsun Health Plans. Offered significant support in the Companys sale to Anthem, including: relationship building, strategic negotiation, management of third-party advisors, and financial analysis. 31% of employees would recommend working at Healthsun Health Plans to a friend and 33% have a positive outlook for the business. If you aren't clear about any of the underlined terms used in this form, see the Glossary 3054940160 John came in along with duration and degree plan in place? Acquired by Anthem, Inc. (NYSE: ANTM) in 2017. Summits extensive domain expertise in health insurance and coordinated care delivery models helped to support our conviction in the business and its opportunities for continued growth. Within six months of closing, HealthSun had completed the acquisition of two clinic operators and had a robust pipeline of future opportunities. 305-234-9292. Get access to thousands of forms. Get form. ET, Sat Sun 10a.m. 7p.m. Health Net Commercial Provider Appeals Unit PO Box 9040 Farmington, MO , https://providerlibrary.healthnetcalifornia.com/content/dam/centene/healthnet/pdfs/providerlibrary/42462-Provider%20Dispute%20Resolution%20Request%20-%20Commercial%20and%20Medi-Cal.pdf, Health (5 days ago) Incomplete appeal submissions will be returned unprocessed. During October through March, we are available 7 days a week from 8am to 8pm. Clear away the routine and create papers on the internet! Main Office Toll Free. endstream
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Our hours of operation are Monday through Friday, 8am to 8pm. 877-207-4900. Determinations, Grievances, and Appeals - HealthSun. ET, Sat - Sun 10 a.m. - 7. h|MHTQ}ulQ&q~dKS$j]B%'rH4)D$EHVC1HIWmtr?. 305-234-9292. 877-207-4900. Health (1 days ago) Main Office. 877-999-7776. You can use our Reimbursement Request Form to help us process the information faster. However, with our pre-built web templates, things get simpler. Our hours of operation are Monday through Friday, 8am to 8pm. Typically, beneficiaries cannot enroll in a Medicare Advantage Plan outside of the Open Enrollment Period. Health (3 days ago) Appointment of RepresentativeRequest A Coverage Decision Or An ExceptionRequest A PaymentRequest An AppealFile A ComplaintFor more information, please see Chapter 9 in your plan's Evidence of Coverage (EOC). 877-999-7776. Provider Portal Complete all required information in the necessary fillable areas. Use your electronic signature to the page. Enter your Username and Password and click on Log In Step 3. Founded in 2005, HealthSun operates one of the largest and fastest-growing integrated Medicare Advantage health plan and care delivery networks focused primarily on the dual-eligible population in Floridas Miami-Dade and Broward counties. Health (2 days ago) Complete GRIEVANCEAPPEAL FORM - Healthsun Health Plans online with US Legal Forms. Today, HealthSun is not just a 5 STAR health plan, but a 5 STAR enterprise. GRIEVANCE/APPEAL FORM 3250 Mary Street, Suite 300 Miami, Florida 33133 Attn: Grievance and Appeals PLEASE PRINT OR TYPE Last Name: First Name: Middle Initial: Home Address: City: St. Zip Code Home. And because we're a five-star plan, you can enroll year-round.
M&d/ ak5#gGS hfNhn6}:m^C_W3=\` nA Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). In 2017, Anthem completed the acquisition of HealthSun, adding more than 40,000 members to its Florida membership base and significantly expanding in its clinical capabilities with HealthSuns owned clinics. Led a majority recapitalization in 2016 including the simultaneous acquisition of captive clinic operators WellMax and Pasteur Medical Centers. Uy[-. We do not offer every plan available in your area. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. File your complaint online via CMS by submitting the . TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Provider Services. Clear away the routine and create papers on the internet! Claimant , https://www.state.nj.us/labor/salesforce/uia-w2l/EmployeeAppealProd.htm, Lakeshore community health center sheboygan, 2021 health-improve.org. Ensures that a website is free of malware attacks. The user-friendly drag&drop graphical user interface allows you to add or relocate fields. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, GRIEVANCEAPPEAL FORM - Healthsun Health Plans. Forms & Documents - Your South Florida Medicare Provider - HealthSun Health Plans Espaol Forms & Documents Now Available Instructions on How to Get Covered Services During a Disaster. Our office will be closed on Federal Holidays, Thanksgiving, and Christmas. As a local plan, we recognize the healthcare needs of our community and strive to provide our members with only the best service and experience possible. Now, using a GRIEVANCEAPPEAL FORM - Healthsun Health Plans requires no more than 5 minutes. Website http://www.healthsun.com. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare. Our hours of operation are Monday through Friday, 8am to 8pm. SPANISH 2022 Change of Plan Request Form. Star rating is for contract . All rights reserved. Request an Appeal For more information, please see Chapter 9 in your plan's Evidence of Coverage (EOC). Any information we provide is limited to those plans we do offer in your area. Founded in 2005, HealthSun operates one of the largest and fastest-growing integrated Medicare Advantage health plan and care delivery networks focused primarily on the dual-eligible population in Florida's Miami-Dade and Broward counties. Enrollment in plans depends on contract renewal. . CODE . Every year, Medicare evaluates plans based on a 5-star rating system. #1 Internet-trusted security seal. Main Office Toll Free. Health (2 days ago) File your complaint online via CMS by submitting the Medicare Complaint Form. Health (3 days ago) Appointment of RepresentativeRequest A Coverage Decision Or An ExceptionRequest A PaymentRequest An , https://www.health-improve.org/healthsun-provider-appeal-form/. Healthsun Health Plans has an overall rating of 2.5 out of 5, based on over 35 reviews left anonymously by employees. HealthSun Health Plans is not a Medicare supplement policy. Helped build out a business development team, assisting in the mapping and execution of acquisitions. Medicare Frequently Asked Questions - Healthsun Health Plans . Member Services Toll Free. GRIEVANCE/APPEAL FORM 3250 Mary Street, Suite 300 Miami, Florida 33133 Attn: , https://www.uslegalforms.com/form-library/326970-grievanceappeal-form-healthsun-health-plans, Health (5 days ago) LOG OFF IMMEDIATELY if you do not agree to the conditions stated in this warning. Over a one year period, Summit deeply engaged with two distinct set of shareholders to structure, negotiate and complete the investment. . Clotrimazole Vaginal . Enjoy smart fillable fields and interactivity. Enrollment in HealthSun Health Plans depends on contract renewal. Medicare Advantage Plus Prescription Drug, Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, whether Medicare Advantage is right for you, What to Consider When Shopping for Medicare Coverage. Step 1. . Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). During October through March, we are available 7 days a week from 8am to 8pm. Experience a faster way to fill out and sign forms on the web. Main Office. We couldnt be more proud of what we have accomplished and remain tremendously grateful for Summits partnership in the process. Guarantees that a business meets BBB accreditation standards in the US and Canada. USLegal received the following as compared to 9 other form sites. Experience a faster way to fill out and sign forms on the web. %%EOF
To enroll with HealthSun Health Plans, you must have Medicare Part A and Medicare Part B and live in one of our covered service areas. The OTC beneit does not roll . 877-999-7776. . Harvard Pilgrim Health Care of New England, Inc. Health New England Medicare Advantage Plans, Highmark BCBS of WNY and Highmark BS of NENY, Horizon Blue Cross Blue Shield of New Jersey, MeridianComplete (Medicare-Medicaid Plan), Molina Healthcare of Wisconsin and Massachusetts, University of Utah Health Insurance Plans, Upper Peninsula Health Plan (UPHP) MI Health Link, Find Continuing Care Retirement Communites, California Do Not Sell My Personal Information Request. Follow the simple instructions below: The preparing of lawful papers can be expensive and time-consuming. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare. Reimbursement Request Form Part D Reimbursement Request Form The Reimbursement Forms are not required. If there are any problems, here are some of our suggestions Top Results For Healthsun Provider Portal Login Updated 1 hour ago provider.healthsun.com - HealthSun Health Plans Visit site Or ill out the enclosed form and choose from: 2 Fax 786-477-4685 3 Email: OTCClerks@healthsun.com 4 Mail: 7235 NW 19th Street . Helped the Company rapidly build a public company infrastructure assisting with the recruitment of an experienced finance team; helping to improve the processes for financial audits and reporting, strengthen corporate governance, and streamline corporate decision-making. Please note the speciic address for all Medi-Cal appeals.
Make sure everything is completed properly, without any typos or lacking blocks. During October through March, we are available 7 days a week from 8am to 8pm. Not affiliated with or endorsed by any government agency. Go to Healthsun Provider Portal Login website using the links below Step 2. In 2015, during a phase of rapid membership growth, HealthSun owners and management considered a recapitalization of the business to fuel continued expansion, provide shareholder liquidity and consolidate the business with wholly-owned medical clinic operator, Wellmax, and captive clinic operator, Pasteur Medical Centers. SPANISH 2022 OTC Catalog 4908 0 obj
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A separate Provider Appeal Form is required for each claim appeal (i.e., one form per claim). Not all plans offer all of these benefits. In 2015, during a phase of rapid membership growth . USLegal fulfills industry-leading security and compliance standards. , https://provider.healthsun.com/Account/SignIn, Health (4 days ago) Mail the completed form to the following address. Our hours of operation are Monday through Friday, 8am to 8pm. File your complaint online via CMS by submitting the Medicare Complaint Form. Through its health plan and its captive clinics, HealthSun continues to achieve best-in-class clinical results and patient satisfaction through a tightly integrated and cost-efficient care delivery network that includes robust social support services for its membership base. {{content["mainL"]}} 305-234-9292 {{content["tollFreeL"]}} 877-207-4900 {{content["MemberServicesTollFree"]}} 877-336-2069 {{content["ttyL"]}} 877-206-0500 Access the most extensive library of templates available. ENGLISH 2022 OTC Catalog. During October through March, we are available 7 days a week from 8am to 8pm. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Forms & Documents for Providers - HealthSun Health Plans. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Forms & Documents for Providers - HealthSun Health Plans Health (2 days ago)Provider Portal Access. Our office will be closed on Federal Holidays, Thanksgiving, and Christmas. 305-234-9292. Health (1 days ago) Main Office. Provider Services. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare. Enrollment in plans depends on contract renewal. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Please note, if . Main Office Toll Free. ET | TTY #711. Every year, Medicare evaluates plans based on a 5-star rating system. Summits Capital Markets Team helped negotiate and structure debt financing for the transaction. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.
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