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Vendors

Sunshine Health has contracted with the following vendors for service:

  • National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management.
    1-877-807-2363
  • New Century Health (NCH), an oncology quality management company, to implement a new oncology pre-approval program, Sunshine Health Oncology Pathway Solutions.
  • TurningPoint Healthcare Solutions, LLC for Musculoskeletal Surgical Procedures.
  • HHAeXchange (HHAX) for use of their software and electronic visit verification (EVV) technology.
  • Envolve Pharmacy (pharmacy benefit manager)
    • 1-800-460-8988 (phone)
    • 1-866-399-0928 (PA requests)
  • AcariaHealth (specialty pharmacy)
    • 1-866-796-0530 Phone
    • 1-866-351-7388 (Fax) PA Requests
  • Dental MCOs - Services not managed by Sunshine Health
  • Logisticare (Member transportation service)
    • 1-877-659-8420 Reservations
    • 1-877-659-8421 Ride Assist (Where’s My Ride)
  • Envolve Vision (optometry/ophthalmology)
    1-800-334-3937
  • Member Nurse Advice Line (Medical advice 24/7)
    • 1-866-796-0530 (Medicaid and Comprehensive Long Term Care)
    • 1-855-463-4100 (Child Welfare)
  • Health Network One (PT, OT, ST)
    1-800-595-9631
  • HearUSA
    1-877-664-9353