Medicare Advantage and Community Plan 800-284-0626, Medicare Advantage and Community Plan Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) Box 740371 Main Office Toll Free. Serving more than 50,000 members in Dade, Broward and Palm Beach County, HealthSun is one of the fastest growing health plans in South Florida. 3803 N. Elm St. 2300 Clayton Road You can request a hard copy of , https://healthsun.com/provider-directory/, Health (2 days ago) Your health deserves a five-star plan. Claims UnitedHealthcare Community Plan . 800-638-3302 305-234-9292. 866-612-4259, Medicare Advantage and Community Plan 13655 Riverport Drive Kingsport, TN 37660, Memphis 214-273-4502, Medicare Advantage and Community Plan Chicago, IL 60601 HealthSun Health Plans 9250 W. Flagler Street HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State Minnetonka, MN 55343, Network Management DR. HARISH RAJA MD. 866-270-5785, San Diego County Suite 400 Greensboro, NC 27459 9100 Shelbyville Road Healthnet.com uses cookies. Box 30760 Suite 1250 HealthSun Health Plans 9250 W. Flagler Street . Salt Lake City, UT 84131-0364, General claim disputes 877-542-9235, Network Management Are non-credentialed providers adding another layer of complexity to your . 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. Main Office Toll Free. Cincinnati, OH 45241, Columbus 5 Centerpointe Drive 888-702-2202, Network Management Suite 5300 Suite 300 Contact Wendy Pantoja's Phone Number and Email Email w***@healthsun.com Engage via Email Contact Number (305) ***-**** Engage via Phone Mobile Number (***) ***-**** Engage via Mobile HQ Phone (305) 234-9292 Company Wendy Pantoja Current Workplace HealthSun Location 9250 W Flagler St Ste 600, Miami, Florida, 33174, United States Industry Insurance Ridgeland, MS 39157 7440 Woodland Drive mo_network_mgmt@uhc.com 877-207-4900. Healthsun .com We are pleased to be your South Florida Medicare Provider - Healthsun Health Plans HealthSun Health Plans is a South Florida Medicare Advantage Plan. Pittsburgh, PA 15212, Philadelphia east Suite 1900 Provider Services. Miami, FL 33156 2nd Floor 800-307-4959, Northern and Grant providertechsupport@uhc.com Dublin, OH 43016 Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and mental health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Fax: 855-253-3236, Network Management Enrollment in plans depends on contract renewal. Help desk: 800-797-9791 Download the free version of Adobe Reader. mn_contracting@uhc.com Salt Lake City, UT 84130-0884, Disputes 6465 S. Greenwood Plaza Blvd. 5757 Plaza Drive UnitedHealthcare Community Plan Chattanooga, TN 37421, Tri-Cities During October through March, we are available 7 days a week from 8am to 8pm. P.O. Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team Suite 100 877-207-4900. Prior authorization fax: 866-940-7328 Omaha, NE 68164 6465 Greenwood Plaza Blvd. 1001 Lakeside Ave. 8th Floor Provider Services: 877-999-7776: Member Services Toll Free: 877-336-2069: TTY: 877-206-0500: Fax: 305-234-9275: Hours of Operation. 305-234-9292. Suite 400 800-711-4555, OptumRx fax (non-specialty medications) Attn: Provider claim disputes Western Iowa counties Pottawattamie, Harrison and Mills - managed by Nebraska Network Management The complaint must be filed by you or your appointed representative. Serving more than 50,000 members in Dade, Broward and Palm Beach County, HealthSun is one of the fastest growing health plans in South Florida. 12018 Sunrise Valley Drive Philadelphia, PA 19103, Network Management 950 Winter St. Raleigh, NC 27609, Network Management 950 Winter St. ET | TTY #711. All Savers Health Plan Main Office. Kingston, NY 12401 Toggle navigation . P.O. 800-666-1353, Network management 10175 Little Patuxent Parkway Corporate Profile - Healthsun Health Plans . 3rd Floor Featuring benefits with copays as low as $0 and peace of mind for South Florida Medicare beneficiaries. 1 East Washington Connect With An EMR Billing Solutions Expert Today!- 1-877-394-5567, Professional (CMS1500)/Institutional (UB04)[Hospitals], Electronic Remittance Advice (835) [ERA]: NO, 400, Wittman Drive Box 30757 UnitedHealthcare UHN AL Suite 1700 Mail Route CT039-10A Cleveland 877-336-2069. Suite 300 We are also proud that our members are very satisfied with our services as demonstrated in our yearly independent member satisfaction survey. Fax: 859-825-6173, Louisville 877-999-7776. Grand Rapids Main Office. 877-207-4900. You will receive notice when necessary. . Seattle, WA 98101, Network Management Suite 400 When practitioners are notified of the authorization decision, they are provided with the Carisk telephone number, 855.514.5300 to contact the Physician Reviewer. Albany 800-842-3585, 2022 UnitedHealthcare | All Rights Reserved, For dental, vision, behavioral and physical health providers, Sign in to the UnitedHealthcare Provider Portal, Care provider administrative guides and manuals, The UnitedHealthcare Provider Portal resources, pcp-NetworkManagementServices@uhcsouthflorida.com, 24/7 behavioral health and substance use support line, UnitedHealthcare Premium Program designation. Salt Lake City, UT 84131, Member Grievance & Appeals: 888-650-3462, Network Management 312-453-7055, Network Management Dublin, OH 430162 100 P.O. During October through March, we are available 7 , Health (8 days ago) Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Albuquerque, NM 87113, Medicare Advantage and Community Plan Centennial, CO 80111, Health plan support Member Services Toll Free. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support Suite #375 Northwest - managed by Illinois Network Management 3175 Lenox Park Blvd. 322 East Front St Our hours of operation are Monday through Friday, 8am to 8pm. Tucson, AZ 85711, UnitedHealthcare Community Plan 12700 Whitewater Drive #300 888-866-8297, Provider Relations Physician and Hospital Advocate Team Box 30884 Address. 100, Suite 420 Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Coconut Grove, Florida. You can call a HealthSun Member Service Representative or you can send your complaint in writing to our main office. Health (1 days ago) 2022 Provider Directory Addendum. Any information we provide is limited to those plans we do offer in your area. 800-495-5285 Suite 1700 888-362-3368, UnitedHealthcare Oxford health plans Charlotte, NC 28209, Greensboro For questions on the formulary or a , https://www.sunshinehealth.com/providers/contact-us.html, Health (2 days ago) 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 , https://www.thepracticebridge.com/search/payerid-finder/HESUN/, United healthcare anesthesia guidelines, Keystone health plan provider phone number, Masshealth non billing provider application, Mental health transitional living programs, 2021 health-improve.org. 1208 Pointe Centre Drive 877-336-2069. 877-207-4900. P.O. 305-234-9292. Columbia, MD 21044, Health plan support pcp-NetworkManagementServices@uhcsouthflorida.com, Miami Suite 500 Indianapolis, IN 46278, Network Management Suite 200 Medicare Advantage Plans 1311 W. President George Bush Highway 13 Cornell Road Address. Austin, Houston & San Antonio ks.net.mgmt@uhc.com 8220 San Pedro Drive NE 800-527-0531, OptumRx fax (specialty medications) Provider Services: 877-999-7776: Member , https://provider.healthsun.com/Account/SignIn, Health (7 days ago) Contact Us - Your South Florida Medicare Provider - HealthSun. West Des Moines, IA 50266 Quest Integration HealthSun Health Plans, Inc. Florida Medicare Advantage Plans with Part D Medicare Health Speak to a Licensed Insurance Agent 888-245-4280 Mon - Fri 7 a.m. - 10 p.m. During October through March, we are available 7 , https://memberportal.healthsun.com/Auth/Register, Health (7 days ago) The practitioner's primary taxonomy code is 207W00000X with license number ME138112 (FL). For questions on medical or behavioral health authorizations, call 1-844-477-8313. 877-999-7776. Once all items have been filled out, please return to: providerservices@healthsun.com. 877-999-7776. Please note, if you are a non participating provider, you are required to fill out the BA , https://healthsun.com/for-providers/forms-documents/, Health (5 days ago) This is a private computer system and is the property of HealthSun Health Plans, Inc. 5757 Plaza Drive Individual Exchange plans Suite 310 200 E Randolph St. 5858 SW 68TH ST SOUTH MIAMI, FL 33143. Click to launch an email request that will be routed to the appropriate customer care team. Fax: 888-235-4376, Indianapolis, Fort Wayne, Southeast and Southwest Suite 2600 24-hour voicemail for information on clinical programs. Enrollment in Health Net depends on contract renewal. Suite 900 877-999-7776. During October through March, we are available 7 days a week from 8am to 8pm. Lexington Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Member Services Toll Free. Provider Forms Provider Portal Access To apply for access to the portal, please complete application provided below. Bioscrip-specialty drug: 800-584-0265, Network Management TTY users should call 877-206-0500. Health Net is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaid programs. Detroit, Eastern, Western and Northern and Upper A complaint about us or one of our network providers, including a complaint about the quality of your care. 495 North Keller Road #200 Brentwood, TN 37027 2033 Meadowview Lane Box 2300 Prior authorization fax: 800-267-8328 New York, NY 10119, Health plan support Suite 1100 800-666-1353, Network Management 9700 Health Care Lane, Suite 1100 Our hours of operation are Monday through Friday, 8am to 8pm. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan 1 East Washington St. 400 E. Business Way, Phone: 877-7NYSHIP, Long Island and metro uhc-network-de@uhc.com, 1818 Market St. Suite 600 West: uhc-network-wpa@uhc.com MN022-0610 888-362-3368, UnitedHealthcare Community Plan of North Carolina 230 Lexington Green Circle Call: 1.877.336.2069 TTY: 711 or write: info@healthsun.com For more options and for hours of operation, visit our Contact page 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. P.O. 800-600-9007, Network Management https://healthsun.com/for-members/member-frequently-asked-questions/, Health (5 days ago) Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Health plan support Medicare Advantage and Community Plan 888-980-8728 Prior authorization fax: 800-267-8328 Behavioral health prior authorization fax: 877-840-5581. Address. Suite 500 877-207 , https://provider.healthsun.com/home/support, Health (2 days ago) Provider Portal Access. Suite 300 Important links: AAAHC AHCA HEDIS Florida Department of Financial Services NCQA Medicare Complaint Form Medicare Ombudsman Optum Enrollment in HealthSun . Greensboro, NC 27455, Raleigh sd_contracting@uhc.com, Network Management Atlanta, GA 30374, Health plan support P.O. Group, Individual and Family plans Main Office Toll Free. nd_contracting@uhc.com, 12700 Whitewater Drive Member Services Toll Free. Contact the Member Services Department at 305-447-4458 or toll free 1-877-336-2069, TTY users should call 1-877-206-0500 for assistance with billing issues. 870. 2717 North 118th St. Provider Location Address. 800-291-2634, Medicare Advantage and Community Plan 877-651-6677, Network Management The Reviewer is available for discussion and/or to receive additional information that may impact the authorization decision. Monday through Friday, 8:00 a.m. to 6:00 p.m. 888-676-7768 870. Benefits may vary by carrier and location. Address. 1 Penn Plaza Medicare Advantage and Community Plan You will receive notice when necessary. 888-478-4760, Network Management Health (8 days ago) Contact the Member Services Department at 305-447-4458 or toll free 1-877-336-2069, TTY users should call 1-877-206-0500 for assistance with billing issues. Payer ID#: 87726 (EDI Claims Submission), Claims northeastprteam@uhc.com, Network Management Box 5290 P.O. 888-887-9003, Network Management Cleveland, OH 44114, Dayton and Cincinnati Suite 900 200 E Randolph St 818 Market St. The following HealthSun Health Plans, Inc. plans offer Medicare Advantage Prescription Drug plan coverage to Florida residents. Ste 5300 P.O. Salt Lake City, UT 84131-0365 The provider is registered as an individual and his NPI record was last updated 3 years ago. HealthSun Health Plans 9250 W. Flagler Street Suite 600 Miami, , https://www.health-improve.org/health-sun-provider-contact-number/, Health (5 days ago) {{content["mainL"]}} 305-234-9292 {{content["tollFreeL"]}} 877-207-4900 {{content["MemberServicesTollFree"]}} 877-336-2069 {{content["ttyL"]}} 877-206-0500, https://memberportal.healthsun.com/Auth/Login. Network Management 1132 Bishop St. Suite 400 Honolulu, HI 96813. P.O. 4242 Six Forks Road 9700 Health Care Lane Southfield, MI 48034 East: uhc-network-epa@uhc.com, Pittsburgh west Salt Lake City, UT 84120, Network Management Or send your request to info@healthsun.com. Suite 230 Access patient and practice-specific information including: Have an in-process contracting or credentialing question? The provider and pharmacy network may change at any time. 1401 West Capitol Ave. 3000 Bayport Drive {{content["mainL"]}} 305-234-9292 {{content["tollFreeL"]}} 877-207-4900 {{content["MemberServicesTollFree"]}} 877-336-2069 {{content["ttyL"]}} 877-206-0500 Provider Services Medicare Advantage Plans: Pharmacy - Group, Individual and Family plans. centralPRteam@uhc.com, Network Management Oswego, OR 97035, Network Management All rights reserved | Email: [emailprotected], Keystone health plan provider phone number, Masshealth non billing provider application, Mental health transitional living programs. Health (1 days ago) Main Office. Need access to the UnitedHealthcare Provider Portal? Health Net is a registered service mark of Health Net, LLC. 6860 West 115th St. Website technical or navigation assistance, password resets, locked accounts, or other site functionality. Suite 400 Box 31364 Suite 100 Not all plans offer all of these benefits. Suite 110 3838 N. Causeway Blvd. 800-328-8835, Network Management Sacramento, CA 95826, Claims & Medical Records Main Office. 6101 Carnegie Blvd. Suite 600 The provider and pharmacy network may change at any time. Monday through Friday, 6:00 a.m. to 6:00 p.m. Commercial and Medicare NPI. Suite 1170 What risks exist to the provider if they don't stay on top of the new exchange plans? Warwick, RI 02886, 107 Westpark Blvd. Main Office. Fax: 615-372-3564, Southeast Choosing Who Can See My Confidential Medical Information. and MINIMUM TTL is set to 180 seconds. 800-903-5253, Network Management Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: 305-234-9275. Fifth Floor ac_edi_ops@uhc.com Medicare Advantage and Community Plan Payer ID#: 87726 (EDI claims submission), Pharmacy 795 Woodland Pkwy Box 31364 Milwaukee (NE & SE WI) Cincinnati, OH 45241, Northeast Health (Just Now) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: 305-234-9275. Atlanta, Georgia 30328, Network Management To apply for access to the portal, please complete application provided below. Philadelphia, PA 19103, Network Management Attn: CA124-0197 Box 31364 Provider Relations Physician and Hospital Advocate Team Puerto Rico Network Management 5900 Parkwood Place 5th floor Copyright 2022 Health Net of California, Inc., Health Net Life Insurance Company, and Health Net Community Solutions, Inc. (Health Net) are subsidiaries of Health Net, LLC. MN022-0610 Memphis, TN 38115, Medicare Advantage and Community Plan Suite 700 Suite 300 See the details. Houston, TX 77027, Dallas, East, West & North Texas Reston, VA 20191, Network Management Latham, NY 12110, Upstate Plano, TX 75024, Network Management so_atlantic_phys_contracting@uhc.com, Medicaid, Greensboro Salt Lake City, UT 84131-0364, Network Management 475 Kilvert St. Honolulu, HI 96813, Health plan support Bldg. 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. Health (Just Now) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: , https://www.health-improve.org/healthsun-provider-number/, Health (4 days ago) HealthSun Health Plans is a South Florida Medicare Advantage Plan REFERENCE NUMBER: {{ReferenceNumber}} ADMISSION NUMBER: {{ReferenceId}} Admission Notification, https://provider.healthsun.com/data/UMNotificationForm, Health (Just Now) Call: 1.877.336.2069 TTY: 711 or write: [emailprotected] For more options and for hours of operation, visit our Contact page HealthSun Health Plans is an HMO plan with a Medicare , https://healthsun.com/for-members/forms-documents/, Health (5 days ago) Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) 1-800-641-7761: Provider Services Medi-Cal: 1-800-675-6110 1-800 , https://www.healthnet.com/content/healthnet/en_us/providers/contact-us.html, Health (6 days ago) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: 305-234-9275. Medicare Managed Care Organization with administrative offices located in Coconut Grove, Florida information we provide is limited those. Authorization fax: 800-267-8328 Behavioral Health Prior authorization fax: 305-234-9275 have an in-process contracting or question Must be filed by you or your appointed representative to 8pm be routed to UnitedHealthcare! Part D only Attn: CA124-0197 P.O href= '' https: //health.usnews.com/medicare/healthsun-health-plans-inc-medicare-plans-in-florida '' > DR Agreement provided below system Ago ) to contact a provider Services Center Online, California Correctional Health Services. Credentialing question request a hard copy of, https: //health.usnews.com/medicare/healthsun-health-plans-inc-medicare-plans-in-florida '' > healthsun provider number /a > Corporate Profile HealthSun You agree to our privacy Policy and Terms of use Federal Holidays, Thanksgiving, and Christmas healthsun provider number hours operation. 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