Po box 5000 farmington mo 63640

P.O. Box 5010 -Farmington, MO 63640-5010. Claim Disputes: • Must be submitted within 120 days of the Explanation of Payment. ... • The completed Claim Dispute form may be mailed to: P.O. Box 5000 -Farmington, MO 63640-5000. Claim Submission. Member in Suspended Status: • A provision of the ACA allows members who are receiving Advanced ...

PO Box 5010 Farmington, MO 63640-5010 . Timely Filing: • Par Providers: 180 days from the date of service or primary payment (when Ambetter is secondary) • Non Par Providers: 90 days from the date of service Claim Disputes - (Form located on website) Ambetter from MHS Indiana PO Box 5000 Farmington, MO 63640-5000 Can't find what you're looking for? Visit FAQs for answers to common questions about USPS locations and services. FAQs. 204 MURDOCK RD. BALTIMORE, MD 21212-1823. 205 MURDOCK RD. BALTIMORE, MD 21213-1824. Locate a Post Office™ or other USPS® services such as stamps, passport acceptance, and Self-Service Kiosks.Ambetter from Sunshine Health Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640-5010. Ambetter from Sunshine Health Attn: Level II – Claim …Columbia Street Manor. 208 West Columbia Streetpo Box 675, Farmington, MO 63640. Assisted Living. Board and Care Home. Compare. For residents and staff. (573) 756-7481. For pricing and availability. (573) 279-0243.PO BOX 3000 . Farmington, Missouri 63640- 3800 . Author: Jill Johnstone Created Date: 5/5/2014 9:42:51 AM ... Post Office Box 3070 . Farmington, MO 63640-3823 . Title: Provider Dispute Form Author: Sunshine Health Subject: Dispute Form Keywords: Provider Created Date:PO Box 3000 Farmington, MO 63640-3800 • A claim dispute is to be used only when a provider has received an unsatisfactory response to a request for reconsideration. • The “Provider Claim Dispute” form can be found on www.IlliniCare.com. • Claim disputes must be submitted in writing and concluded within 180 days from the date201-215 Hyler Dr, Farmington, MO 63640. Rent price: $550 / month, 1 - 2 bedroom floor plans, 1 available unit, pet friendly, 14 photos.

Title Provider Request for Reconsideration and Claim Dispute Form Subject Provider Request for Reconsideration and Claim Dispute Form Keywords request, claim, dispute, provider, member, service Created Date 5/17/2016 11:10:17 AMPO Box 5010 Farmington, MO 63640 -5010 Ambetter from Superior Healthplan ... Farmington, MO 63640 -5000. Title: Texas - Provider Request for Reconsideration and Claim ... PO Box 3070 Farmington MO 63640-4401 . Provider Services Department 1-866-796-0530 6 CLAIMS FILING INSTRUCTIONS To submit a Corrected or Voided Claim via paper:PO Box 5010 Farmington, MO 63640-5010 . ... PO Box 5000 Farmington, MO 63640-5000. Title: NE - AMB - Provider Request for Reconsideration and Claim Dispute Form Author: Ambetter from Nebraska Total Care Subject: Provider Request for Reconsideration and Claim Dispute Form Keywords: provider, claim, dispute, form, member, requestorPO Box 5010. Farmington, MO 63640. NOTE: Data stored on external storage devices such as USB devices, CD-R/W, DVD-R/W, or flash media will not be accepted. Fax: n/a. Phone: 833-510-4727. Email: n/a. Yes: Claim Dispute: Ambetter. Attn: Claim Dispute. PO Box 5000. Farmington, MO 63640 St. Louis, MO 63105. Phone: 1-866-549-8289 (TTY: 711) FAX: 1-844-273-2671. Part D Appeals: Buckeye Health Plan - MyCare Ohio ... P. O. Box 3060 Farmington, MO 63640 ...Attn: Appeals & Grievances. 8325 Lenexa Drive, Suite 410. Lenexa KS 66214. Provider claim disputes should be sent to: Ambetter. Attn: Claim Disputes. PO Box 5000. Farmington, MO 63640-5000. If you have any questions about this, or any aspect of doing business with Ambetter from Sunflower Health Plan, please contact Provider …

PO Box 9030 Farmington, MO 63640-9030 Number *Patient name Last First Date of birth *Subscriber ID/CIN number *Original claim ID/Submission ID number *Service from/to date Original claim amount billed Original claim amount paid *Expected outcome 1 2 ...Ambetter from Coordinated Care Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640-5010 Ambetter from Coordinated Care Attn: Level II - Claim Dispute PO Box 5000 Farmington, MO 63640P.O. Box 3070 Farmington, MO 63640-3823 Attn: Claims Department. Sunshine Health Plan ... P.O. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 ZIP Code 63640 is located in the county of St. Francois in the state of Missouri. 63640 ZIP Code is spread between the coordinates of +37.7777832 Latitude and -90.41615631 Longitude. 63640 ZIP Code is part of the 573 area code. There is 1 postal office in zip code 63640.. On the below highlighted section you can find the cities which the US Post Office …

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X Important Information about COVID-19. Because of the current health crisis, it is possible that our call centers, including the nurse advice line, may experience high call volume.State Managed Care Phone Claims Address AK Alaska Medicaid 907-644-6800 AK 800-783-9207 AK 800-884-3223 AL Alabama Medicaid 800-688-7989 AL BCBS AR AR 501-374-6608 AR Ambetter AR 855-429-1028 PO BOX 211446 Eagan MN 55121 AZ Arizona Medicaid 602-417-7670 AHCCCS, PO Box 1700 Phoenix, AZ 85002 AZ 602-417-7670 AZ 602-417-4000 AZ 602-417-4000 AZ 888-788-4408 PO Box 9010 Farmington, MO 63640 AZ 800 ...PO Box 5000. Farmington, MO 63640-5000. PAR and COB forms. First Time Claims, Medical and Behavioral Health Corrected Claims and Requests for Reconsideration.PO Box 5000. Farmington, MO 63640-5000. Complaint/Grievance. A Complaint/Grievance is a verbal or written expression by a provider which indicates ...

PO Box 8070 Farmington, MO 63640-8070; Dental Claims. Envolve Dental Claims PO Box 21588 Tampa, FL 33622-1588 ; Payment PaySpan - EFT/ERA. Jun 7, 2023 · PO Box 9040 Farmington, MO 63640-9040: Medi-Cal: Health Net Medi-Cal Claims PO Box 9020 Farmington, MO 63640-9020: Medicare Advantage: Health Net Medicare Claims PO Box 9030 Farmington, MO 63640-9030: Salud con Health Net: Health Net Commercial Claims PO Box 9040 Farmington, MO 63640-9040 CalViva Health Administrative Office. 7625 N. Palm Ave., Suite 109 Fresno, CA 93711 1.866.863.2465 TTY 711. Open 8 a.m. to 4 p.m. Monday through FridayReconsideration PO Box 3060 Farmington, MO 63640-3 822 . Wellcare by Allwell Attn: Level II – Claim Dispute PO Box 4000 Farmington, MO 63640-4 400. Title: Allwell - Provider Request for Reconsideration and Claim Dispute Form Author: Allwell From MHS Health Wisconsin Subject:PO Box 3060 Farmington, MO 63640-3822 Claims PH: 1.877.730.2117 Care Mgmt PH: 1.800.224.1991 Electronic Claims Submission Payor ID 68069 TTY Line 1.800.750.0750 Paper Claims Submission Advantage by Buckeye Health Plan PO Box 3060 Farmington, MO 63640 ONLY ORIGINAL RED FORMS WILL BE ACCEPTED. Electronic Claims Submission Centene EDI DepartmentCalViva Health Administrative Office. 7625 N. Palm Ave., Suite 109 Fresno, CA 93711 1.866.863.2465 TTY 711. Open 8 a.m. to 4 p.m. Monday through FridayP.O. Box 5010 –Farmington, MO 63640-5010 Claim Disputes: • Must be submitted within 120 days of the Explanation of Payment. • A Claim Dispute form can be found on our website at: Ambetter.SuperiorHealthPlan.com • The completed Claim Dispute form may be mailed to: P.O. Box 5000 –Farmington, MO 63640-5000Iowa Total Care Providers. Provider Services Hours: Monday through Friday, 7:30 a.m. - 6:00 p.m. Central Time. Provider Services Phone Number: 1-833-404-1061. If you have questions about your Iowa Medicaid coverage, how to apply, or how to find a provider, please contact Iowa Total Care. See our contact information.PO Box 5010 Farmington, MO 63640-5010 . Timely Filing: • Par Providers: 180 days from the date of service ... PO Box 5000 Farmington, MO 63640-5000 . Corrected Claims, Requests for Reconsideration or Claim Disputes: • Par Providers:180 days from the date of explanation of payment or denial is issued • Non Par Providers: 90 days from the ...P.O. Box 3060 . Farmington, MO 63640-3822 . Claim Definitions: Adjusted or Corrected Claims: Provider is CHANGING the original claim. Request for Reconsideration ...

X Important Information about COVID-19. Because of the current health crisis, it is possible that our call centers, including the nurse advice line, may experience high call volume.

PO Box 260. Independence, Missouri 64057 . 816/254-3652. 816/254-9243 (Fax) Counties Served: Jackson. 6 ... 417/761-5000. 417/761-5011 (Fax) Counties Served: Christian, Dallas, Greene, Polk, Stone, Taney, Webster. 11 ... Farmington, Missouri 63640 . Mailing Address: PO Box 510. 573/756-2899. 573/756-4105 (Fax) Counties Served: St. Francois. 18PO BOX 3000 Farmington, Missouri 63640-3800 Contact name & number of person requesting the appeal: _____ Title Claim Appeal Form Author Melanie M. Jenkins Created Date 5/8/2019 5:02:38 PM ...PO Box 5010 Farmington, MO 63640 -5010 . Ambetter from Buckeye Health Plan ... Farmington, MO 63640 -5000 . Title: Ohio - Provider Request for Reconsideration and ... PO BOX 3060 Farmington, MO 63640-5010 . ... PO Box 4000 Farmington, MO 63640-5000. Allwell.ARHealthWellness.com ©2018 Arkansas Health & Wellness Health Plan Inc. All ...Jun 28, 2021 · PO Box 44287 Detroit, MI 48244. On or after. July 1, 2021. MeridianHealth Attn: Claims Department PO Box 4020 Farmington, MO 63640 . Provider Refunds . On or before. June 30, 2021. MeridianHealth Attn: Provider Refunds PO Box 858875 Minneapolis, MN 55485 . On or after. July 1, 2021. MeridianHealth Attn: Provider Refunds PO Box 74925 Chicago, IL ... Get reviews, hours, directions, coupons and more for United States Postal Service at 420 W Jackson St, Mexico, MO 65265. Search for other Post Offices in Mexico on The Real …PO Box 4040 Farmington, MO 63640-3826 Louisiana Healthcare Connections Attn: Claim Disputes PO Box 3000 Farmington, MO 63640-3800 Louisiana Healthcare Connections Attn: Medical Necessity Office address City State and Zip Electronic Claims Submission Louisiana Healthcare Connections c/o Centene EDI Department 1-800-225-2573, ext 25525PO Box 3070 Farmington, MO 63640-3823. 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).Title Provider Request for Reconsideration and Claim Dispute Form Subject Provider Request for Reconsideration and Claim Dispute Form Keywords request, claim, dispute, provider, member, service Created Date 5/17/2016 11:10:17 AMPO Box 8080 Farmington, MO 63640-8080 Please note: For fastest, most accurate processing, EDI is the preferred method. Taxonomy Codes Taxonomy Codes are designed to categorize the type, classification, and/or specialization of healthcare providers. To ...

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PO Box 3060 Farmington, MO 63640-3822 Wellcare By Allwell Attn: Level II – Claim Dispute PO Box 4000 Farmington, MO 63640-4400 . Author: Brittani S. Hammock Created Date:PO Box 9040 Farmington, MO 63640-9040: Medi-Cal: Health Net Medi-Cal Claims PO Box 9020 Farmington, MO 63640-9020: Medicare Advantage: Health Net Medicare Claims PO Box 9030 Farmington, MO 63640-9030: Salud con Health Net: Health Net Commercial Claims PO Box 9040 Farmington, MO 63640-9040PO Box 5010 Farmington, MO 63640 -5010 . ... PO Box 5000 Farmington, MO 63640 -5000. Title: Indiana - Provider Request for Reconsideration and Claim Dispute Form Author: Managed Health Services (MHS) Subject: Provider Request for Reconsideration and Claim Dispute Form Keywords: claim, dispute, provider, request, member, servicePO BOX 3060 Farmington, MO 63640-5010 . ... PO Box 4000 Farmington, MO 63640-5000. Allwell.ARHealthWellness.com ©2018 Arkansas Health & Wellness Health Plan Inc. All ...Dr. Hugo Villarreal, MD, is a Gastroenterology specialist practicing in St. Louis, MO with 35 years of experience. This provider currently accepts 64 insurance plans including Medicare and Medicaid. New patients are welcome. Hospital …PO Box 5000 Farmington, MO 63640-5000 Attach a copy of the EOP(s) with Claim(s) to be adjudicated clearly circled along with the response to your original request for reconsideration. Important Notice: Ambetter from Coordinated Care will make reasonable efforts to resolve this request within 60 days electronic and paper claims. PO Box 3002 Farmington, MO 63640-3802 Claim Process Claims must be received within 90 calendar days of the date of service. ... P.O. Box 3000 Farmington, MO 63640-3800 • MHS will acknowledge your appeal within 5 business days. • Provider will of the ...PO Box 5000 Farmington, MO 63640-5000. Complaint/Grievance. A Complaint/Grievance is a verbal or written expression by a provider which indicates dissatisfaction or dispute with Ambetter’s policies, procedure, or any aspect of Ambetter’s functions. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. PO Box 6900 (ATTN: Claims) Farmington, MO 63640-3818 . 1-866-796-0530 Phone . www.Cenpatico.com . ... PO Box 7548 (ATTN: Claims) 112 Zebulon Court . Rocky Mount, NC ...Jan 25, 2018 · PO Box 5010 Farmington, MO 63640-5010 . ... PO Box 5000 Farmington, MO 63640-5000. Ambetter.ARHealthWellness.com ©2018 Arkansas Health & Wellness Insurance Company ... ….

Post Office Box 3070 . Farmington, MO 63640-3823 . Title: Provider Dispute Form Author: Sunshine Health Subject: Dispute Form Keywords: Provider Created Date:PO Box 8080 Farmington, MO 63640-8080 Meridian Appeal Submissions Correspondence Type Date of Service Mailing Address Meridian On or before ATTN: Claims department MI Claim Payment Disputes March 31,2022 777 Woodward Ave., Suite 700 ...PO Box 5000 . Farmington, MO 63640-5000 . Attach a copy of the EOP(s) with Claim(s) to be adjudicated clearly circled along with the response to your original request for reconsideration. Important Notice: Ambetter from Superior HealthPlan will make reasonable efforts to resolve this request within 15P.O. Box 5010 –Farmington, MO 63640-5010. Claim Disputes: • Must be submitted within 120 days of the Explanation of Payment. ... P.O. Box 5000 –Farmington, MO ...PO Box 5010 Farmington, MO 63640 -5010 Ambetter from MagnoliaHealth Attn: Level II – Claim Dispute PO Box 5000 Farmington, MO 63640 -5000 • • • • _____ Title Mississippi - Provider Request for Reconsideration and Claim Dispute Form Author ...520 Maple Valley Lane, Farmington, MO 63640 Assisted Living Memory Care. For those needing assistance with daily living, or dealing with memory loss, Maplebrook Senior Living, an Americare Community in Farmington, Missouri, is an outstanding choice. ... 101 Riggs Scott Lane Po Box 87, Ironton, MO 63650 Nursing Home Assisted Living Independent ...P.O. Box 5010 -Farmington, MO 63640-5010. Claim Disputes: • Must be submitted within 120 days of the Explanation of Payment. ... • The completed Claim Dispute form may be mailed to: P.O. Box 5000 -Farmington, MO 63640-5000. Claim Submission. Member in Suspended Status: • A provision of the ACA allows members who are receiving Advanced ...PO BOX 3000 Farmington, Missouri 63640-3800 Contact name & number of person requesting the appeal: _____ Title Claim Appeal Form Author Melanie M. Jenkins Created Date 5/8/2019 5:02:38 PM ... Po box 5000 farmington mo 63640, Ambetter from Sunflower Health Plan | ATTN: Claims P.O. Box 5010 | Farmington, MO 63640-5010 Timely Filing is 180 days from date of service or primary payment (when Ambetter is secondary) for participating providers. EDI Payor ID 68069 EDI Help Desk For issues submitting electronic claims call 1-800-225-2573, Ext. 6075525 PaySpan, PO Box 5010. Farmington, MO 63640. NOTE: Data stored on external storage devices such as USB devices, CD-R/W, DVD-R/W, or flash media will not be accepted. Fax: n/a. Phone: 833-510-4727. Email: n/a. Yes: Claim Dispute: Ambetter. Attn: Claim Dispute. PO Box 5000. Farmington, MO 63640 , PO Box 5010 Farmington, MO 63640-5010 . Timely Filing: • Par Providers: 180 days from the date of service ... PO Box 5000 Farmington, MO 63640-5000 . Corrected Claims, Requests for Reconsideration or Claim Disputes: • Par Providers:180 days from the date of explanation of payment or denial is issued • Non Par Providers: 90 days from the ..., Check box if this Reconsideration Request is for multiple claims. Please attach a separate list if more ... PO BOX 3003 . Farmington, Missouri 63640-3803 . Contact name & number of person requesting the appeal: _____ Author: …, PO Box 5010 Farmington, MO 63640-5010 . Timely Filing: • Par Providers: 180 days from the date of service or primary payment (when Ambetter is secondary) • Non Par Providers: 90 days from the date of service Claim Disputes - (Form located on website) Ambetter from MHS Indiana PO Box 5000 Farmington, MO 63640-5000 , P.O. Box 3070 Farmington, MO 63640-3823 Attn: Claims Department. Sunshine Health Plan ... P.O. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530, 63640 is a part of the Farmington, MO Core-Based Statistical Area (CBSA) and it's CBSA code is 22100. The Office of Management and Budget (OMB) defines this as a Micro area. Statistical Areas are defined as either Micropolitan (at least 10,000 but less than 50,000 people) or Metropolitan (50,000+ people)., Mail completed form(s) and attachments to the appropriate address: Ambetter from Home State Health Plan Attn: Level I – Request for Reconsideration PO Box 5010 …, PO Box 5000 Farmington, MO 63640-5000 Disputes of Denials for Lack of Medical Necessity: Disputes must include an explanation outlining why the original decision is incorrect. Simply sending in records will not result in further review. Disputes of Denials for Failure to Pre-Authorize: Disputes must include documentation, PO Box 5000 Farmington, MO 63640-5000 Complaint/Grievance A Complaint/Grievance is a verbal or written expression by a provider which indicates dissatisfaction or dispute with Ambetter’s policies, procedure, or any aspect of Ambetter’s functions. Ambetter, PO Box 3090 Farmington, MO 63640- 3825 . 4. If I choose to submit my Corrected Claims, Reconsiderations, and Claim Appeals via paper where should I send it? Magnolia Health Attn: Corrected Claim PO Box 3090 Farmington, MO 63640- 3800 . Magnolia Health Attn: Reconsideration PO Box 3090 Farmington, MO 63640- 3800 . Magnolia Health Attn: …, PO Box 4070 Farmington, MO 63640-3833 Behavioral Correspondence/ Non-Claims: Sunfower Health Plan PO Box 6400 Farmington, MO 63640-3807 Provider Claims information via the web: www.SunfowerHealthPlan.com EDI/EFT/ERA please visit For Providers at www.SunfowerHealthPlan.com 8325 Lenexa Drive, Suite 410, Lenexa, KS 66214 www.SunflowerHealthPlan.com, P.O. Box 5000 Farmington, MO 63640-5000 • A Claim Dispute/Claim Appeal will be resolved within 30 calendar days. A provider will receive a written letter detailing the decision to overturn or uphold the original decision. If the original decision is upheld, the letter will include the rationale for upholding the decision., Can't find what you're looking for? Visit FAQs for answers to common questions about USPS locations and services. FAQs. 204 MURDOCK RD. BALTIMORE, MD 21212-1823. 205 MURDOCK RD. BALTIMORE, MD 21213-1824. Locate a Post Office™ or other USPS® services such as stamps, passport acceptance, and Self-Service Kiosks., P.O. Box 5010 –Farmington, MO 63640-5010 Claim Disputes: • Must be submitted within 120 days of the Explanation of Payment. • A Claim Dispute form can be found on our website at: Ambetter.SuperiorHealthPlan.com • The completed Claim Dispute form may be mailed to: P.O. Box 5000 –Farmington, MO 63640-5000, ZIP Code 63640 is located in the county of St. Francois in the state of Missouri. 63640 ZIP Code is spread between the coordinates of +37.7777832 Latitude and -90.41615631 Longitude. 63640 ZIP Code is part of the 573 area code. There is 1 postal office in zip code 63640.. On the below highlighted section you can find the cities which the US Post Office …, Dec 31, 2020 · PO Box 3060 Farmington MO 63640. If you are re-submitting a claim for a status or a correction, please indicate “Status” or “Claims Correction” on the claim. Claims Billing Requirements: Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission of claims to Meridian , 8325 Lenexa Drive, Suite 410 Lenexa KS 66214 Provider claim disputes should be sent to: Ambetter Attn: Claim Disputes PO Box 5000 Farmington, MO 63640-5000 If you have any questions about this, or any aspect of doing business with Ambetter from Sunflower Health Plan, please contact Provider Services at 1-844-518-9505., PO Box 5060 Farmington, MO 63640-5060. Nebraska Total Care will make reasonable efforts to resolve this request within 30 calendar days of receipt. Based upon the information submitted, we will either uphold our original decision (if we uphold our original decision, we will, Farmington, MO 63640-38127 PO Box 6000 Farmington, MO 63640-3827 Claims Support: 855-694-4663 . Author: Office 2004 Test Drive User Created Date:, PO Box 23768 Tampa, FL 33623-3768 ; Wellcare By Allwell, Wellcare By Trillium or Wellcare By Health Net ; Grievance and Appeals – Medicare Operations P.O. Box 3060 Farmington, MO 63640-3822 ; Appeals and Grievances Medicare Operations 7700 Forsyth Blvd. St. Louis, MO 63105: APPENDIX: PLAN SPECIFICS . ENVOLVE DENTAL HELP …, PO Box 5010 Farmington, MO 63640 -5010 . Ambetter from Sunshine Health ... Farmington, MO 63640 -5000. Title: Florida - Provider Request for Reconsideration and Claim ... , Jan 1, 2021 · Claims Mailing Requirements. Beginning January 1, 2021, Submit all initial claims for payment to: Attn: Meridian MMP Claims Department Meridian. P.O. Box 4020 Farmington, MO 63640. If you are resubmitting a claim for a status or a correction, please indicate the claim number of the claim that is being corrected and a code in the appropriate ... , P.O. Box 5000 Farmington, MO 63640-5000 Refund of Payment Refund checks should be mailed to Ambetter Health Plan: For medical health: P.O. Box 955889 St. Louis, MO …, P.O. Box 3003 Farmington, MO 63640-3803. Ambetter from Superior HealthPlan Attn: Claims P.O. Box 5010 Farmington, MO 63640-5010. PaySpan - EFT/ERA, Mar 22, 2023 · PO Box 10500 Farmington, MO 63640-5001 . Qualified Health Plans Essential Plan . Fidelis MarketPlace P.O. Box 10600 Farmington, MO 63640-5002 . Medicare Advantage Dual Advantage Medicaid Advantage Plans . Fidelis Medicare P.O. Box 10700 Farmington, MO 63640-5003 . All Other Claims* All . Fidelis Care Attn: Corrected Claims 480 Crosspoint ... , PO Box 5010 Farmington, MO 63640-5010 . Claim Disputes - (Form located on website) Ambetter from Coordinated Care . PO Box 5000 Farmington, MO 63640-5000 . Timely Filing: 180 days from the date of service or primary payment (when Ambetter is secondary) Corrected Claims, Requests for Reconsideration or Claim Disputes: 24 months or 30 months if ..., po box 3060 farmington mo 63640-3822: 844-239-7387: michigan health and hospital association: 24725 w twelve mile rd southfield mi 48034: 888-680-8070: michigan insurance co: po box 252120 grand rapids mi 49515: 888-606-6426: michigan legal copy llc: 4121 okemose road okemos mi 48864: michigan millers mutual ins co: p.o. box 30060 lansing mi ..., Ambetter from Sunflower Health Plan | ATTN: Claims P.O. Box 5010 | Farmington, MO 63640-5010 Timely Filing is 180 days from date of service or primary payment (when Ambetter is secondary) for participating providers. EDI Payor ID 68069 EDI Help Desk For issues submitting electronic claims call 1-800-225-2573, Ext. 6075525 PaySpan, PO Box 5000 Farmington, MO 63640-5000 Attach a copy of the EOP(s) with Claim(s) to be adjudicated clearly circled along with the response to your original request for reconsideration. Important Notice: Ambetter from Superior HealthPlan will …, PO Box 3000 Farmington, MO 63640-3800 • A claim dispute is to be used only when a provider has received an unsatisfactory response to a request for reconsideration. • The “Provider Claim Dispute” form can be found on www.IlliniCare.com. • Claim disputes must be submitted in writing and concluded within 180 days from the date, Mail completed form(s) and attachments to the appropriate address: Ambetter from Coordinated Care Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640-5010. Ambetter from Coordinated Care Attn: Level II – Claim Dispute PO Box 5000 Farmington, MO 63640. , PO Box 23768 Tampa, FL 33623-3768 ; Wellcare By Allwell, Wellcare By Trillium or Wellcare By Health Net ; Grievance and Appeals – Medicare Operations P.O. Box 3060 Farmington, MO 63640-3822 ; Appeals and Grievances Medicare Operations 7700 Forsyth Blvd. St. Louis, MO 63105: APPENDIX: PLAN SPECIFICS . ENVOLVE DENTAL HELP …