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Renew by Dec. 15 for Jan. 1 coverage. Stay covered with Ambetter Health.

News

Correspondence Reminder

Date: 08/10/21

A Message for all participating Ambetter providers. Please share with your claims team.

Ambetter from Sunflower Health Plan would like to remind our valued providers of the following:

  • 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 a Sunflower’s administrative office in Lenexa, Wichita or Topeka will be returned to the provider.

Mailing Addresses for Claims Documentation, Provider Appeals and Refund Checks for Ambetter from Sunflower Health Plan and Sunflower’s Benefit Managers. 

Claim Type

Correspondence Type

Mailing Address

Medical/Behavioral Health

Paper Claims, Corrected Claims, Medical Records and EOBs with Remittance Advice

Ambetter

Attn: Claims

PO BOX 5010

Farmington MO 63640

Medical/Behavioral Health

Refund Checks Only

Ambetter from Sunflower Health Plan

PO BOX 955889

St. Louis MO 63195

Medical/Behavioral Health

Reconsideration Requests

Ambetter

Attn: Request for Reconsideration

PO BOX 5010

Farmington MO 63640

Medical/Behavioral Health

Claim Dispute/Claim Appeal

Ambetter

Attn: Claim Dispute

PO BOX 5000

Farmington MO 63640

Dental

Paper Claims, Corrected Claims, Provider Reconsiderations/Appeals, Refund Checks

Envolve Dental – KS

PO BOX 25857

Tampa FL 33622

Vision

Paper Claims, Corrected Claims, Provider Reconsiderations/Appeals, Refund Checks

Envolve Vision

Ambetter from Sunflower Health Plan

PO BOX 7548

Rocky Mount, NC 27804

Visit the Ambetter website or Ambetter provider manual for more information.

If you have questions about this bulletin or other provider resources, please call Provider Services at 1-844-518-9505 (TTY 1-844-546-9713) or use the Contact Us web submission form.