Transcription of Quick Reference Guide - Cenpatico
1 Quick Reference Guide Cenpatico Contact Information: Cenpatico 866-896-7293 Health Plan Contact Information: Sunflower Health Plan 877-644-4623 EligibilityVerification: Phone: 866-896-7293 Web: (you must have a provider log-on to verify eligibility on this site) ERA/EFT Enrollment: Please call PaySpan Health at 877-331-7154 or visit Cenpatico Customer Service: Please call Customer Service at 866-896-7293 to assist with eligibility determinations and provider referrals Claims Guidelines: Claims must be submitted within 180 days of the date of service. Claims Address: Cenpatico Behavioral Health Box 6400 Farmington, MO 63640-3807 Claims Support: 866-324-3632 Claims Appeals Address: Cenpatico Appeals PO Box 6000 Farmington, MO 63640-3809 Benefits/ Covered Services: Please refer to your fee schedule and the Kansas Covered Services & Authorization Guidelines document within the Provider Manual. Quality Improvement Complaints, Quality of Care Concerns and Critical Incident Reporting: Cenpatico Attn: Quality Improvement Department 12515-8 Research Blvd.
2 , Suite 400 Austin, TX 78759 866-896-7293 EDI Vendors: Emdeon (866-369-8805) Cenpatico s Payor ID Number is 68047 or 68068 Gateway (800-969-3666) Payor ID 68068 Availity (800-282-4548) Payor ID 68068 For further information regarding electronic submission, contact the Cenpatico EDI Department at 800-225-2573, ext. 25525 or email at Prior Authorization: Call Medical Management at 866-896-7293 Download and complete an Outpatient Treatment Request (OTR) online at After-Hours Admissions: Please call NurseWise at 866-896-7293 for emergency admissions after-hours and on weekends Medical Necessity Appeals: Cenpatico Attn: Appeals Coordinator 12515-8 Research Blvd., Suite 400 Austin, TX 78759 Or Fax to: 866-714-7991 Provider Relations Specialist: Phone: 866-896-7293 (Customer Service) Fax: 866-263-6521 Email: Have Questions? Call us at 1-866-896-7293