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Renueve antes del 15 de diciembre para tener cobertura el 1 de enero. Mantén tu cobertura con Ambetter Health.

Renueve antes del 15 de diciembre para tener cobertura el 1 de enero. Mantén tu cobertura con Ambetter Health.

News

Newborn Inpatient Stays

Fecha: 18/12/24

Thank you for your continued partnership with Sunflower Health Plan. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of a new policy that Sunflower Health Plan will be implementing effective on or after *1/1/2025*.

 Policy NumberCC.PP.075
Policy NameNewborn Inpatient Stays
Line of Business Impacted MarketplaceMarketplace
EX CodeEXhn (Retain Pay): Healthy Newborn Claim paid per policy, remit records for reconsideration.
DescriptionReview claims for coding appropriateness when normal newborn stays with non-NICU revenue codes are billed.


Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.