Sunshine Health
MedicaidAlso covers: Sunshine State Health Plan, Centene FL, Sunshine
Payer ID
68069
Centene/Sunshine payer ID; also used by Children's Medical Services Health Plan which Sunshine administers.
Timely Filing Limit (TFL)
180 calendar days from date of service (up to 365 for newborns/retroactive eligibility)
Appeal Window
90 calendar days from payment/denial notification for reconsideration/adjustment/dispute
Clearinghouse
Availity / Centene EDI (payer ID 68069)
Provider Services
844-477-8313
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Sunshine Health, PO Box 3070, Farmington, MO 63640-3823
Provider Portal
https://www.sunshinehealth.com/providers.html
Largest FL Medicaid (SMMC) plan. The Farmington, MO box above is for adjustments/disputes; verify the first-pass claims box separately. EDI dept: 800-225-2573 ext. 25525.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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