New Coordination of Benefits Claims Review Effective May 1, 2022, for Ambetter (Marketplace)

Date: 04/01/22

Fort Lauderdale, Florida

As part of our commitment to deliver the most up-to-date information, Sunshine Health periodically reviews and updates our policies and procedures for utilization management and claims payment.

On May 1, 2022, Sunshine Health will be using an approved vendor, Cotiviti, to complete Coordination of Benefits claims review for Ambetter (Marketplace) members.

Cotiviti will work with you to bill the member’s primary carrier or new carrier in order to receive payment.

If you have any questions, please contact Provider Services at 1-844-477-8313 Monday through Friday from 8 a.m. to 8 p.m. Eastern.

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