New Sunflower Quick Reference Guide

Date: 01/24/19

Your Guide to Working with Sunflower

Now available on Sunflower's website is our updated Provider Quick Reference Guide (QRG), a tool designed to give you the information you need in one easy place.

Visit https://www.sunflowerhealthplan.com/providers/resources/forms-resources.html to see this new QRG and other resources to answer many questions you may have. Print this guide and keep it close to your desk!

The new QRG covers:

• Claims – timely filing, EFT, corrected claims, paper claims, mailing addresses  
• Prior Authorization – fax numbers, secure portal 
• How to Get Support – self help, phone, portal, provider network specialists
• Specialty Services – dental, pharmacy, transportation, interpreter services

Other Provider Resources

Here are some other resources you may find helpful.

• Secure Portal Resources:
  • Check Patient Care Gaps
  • View Your Patient Roster
  • Check or Submit Prior Authorization Requests
  • Check Prior Authorization Requirements
  • View, Submit, Correct or Void Claims
  • Complete Assessments and View Cost Sharing, Care Plans and Coordination of Benefits
  • Access to Case Management and Behavioral Health Referrals
• Preventive and Clinical Practice Guidelines
• Prior Auth Needed Tool
• Clinical and Payment Policies
• Forms
• Provider News
• Provider/Practitioner Changes
• Provider Training

Year of the Provider

We're making 2019 the Year of the Provider. We always welcome your feedback, but are giving special attention this year on how we can make your lives easier. So send us a note if you have ideas you'd like to see us implement.

Thank you for your partnership with Sunflower Health Plan. We look forward to working with you in this new year! If you have questions about this bulletin or other provider resources, please contact Customer Service at 1-877-644-4623.