SHPBN-2018-031 Mailing Claims Documentation, Provider Appeals, Refund Checks
Date: 10/16/18
Correspondence Reminder
- Beginning May 1, 2015, any claims documentation received outside of the addresses below will not be processed and will be returned to the provider.
- No documentation should be submitted to any other address except for those listed below. Claims documentation submitted to Sunflower’s administrative offices in Lenexa, Wichita or Topeka will be returned to the provider.
Mailing Addresses for Claims Documentation, Provider Appeals and Refund Checks for Sunflower Health Plan and Sunflower’s Benefits Managers
| Claim Type | Correspondence Type | Mailing Address |
|---|---|---|
| Medical, NF/LTC or HCBS | Paper Claims, Corrected Claims, Correspondence, Reconsiderations/Appeals, Medical Records and EOBs with Remittance Advice | Sunflower Health Plan PO Box 4070 Farmington, MO 63640-3833 |
| Medical, NF/LTC or HCBS | Refund Checks Only | Sunflower Health Plan - Refunds PO Box 955889 St. Louis, MO 63195-5889 |
| Behavioral Health | First-time Paper Claims | Sunflower Health Plan PO Box 6400 Farmington, MO 63640-3807 |
| Behavioral Health | Refund Checks Only | Sunflower Health Plan Attn: Claims Recovery Team PO Box 3656 Carol Stream IL 60132-3809 |
| Behavioral Health | Behavioral Health Appeals, Request for Reconsideration/Documentation | Sunflower Health Plan BH Claim Appeals PO Box 6000 Farmington, MO 63640-3809 |
| Dental | Paper Claims, Corrected Claims and Provider Reconsiderations/Appeals | Envolve Dental - KS P.O. Box 25857 Tampa, FL 33622-5857 |
| Pharmacy | Paper Claims | Sunflower Health Plan PO Box 4070 Farmington, MO 63640-3833 |
| Vision | Paper Claims, Requests for Reconsideration, Claims Documentation, Refund Checks, Grievances and Appeals | Envolve Vision PO Box 7548 Rocky Mount, NC 27804 |
If you have questions about this bulletin or other provider resources, please contact your Provider Network Representative, or call our Customer Service Center at 1-877-644-4623.