Changes Effective 12/1/2015

Effective 12/01/2015, claims and referral administration for Sunshine Health Plan’s MMA and Child Welfare (CW) products and Coventry/Aetna Health Plan’s Commercial/Medicare and Medicaid/Healthy Kids (HK) products will be migrating to two separate platforms.

As of 12/01/2015 the Medicaid products for Sunshine Health Plan and the Medicaid and Healthy Kids products for Coventry Health Plan will be managed by Health System One. Health System One is currently managing the claims and referral administration processes for Humana and Amerigroup Health Plan products. This will not change. As of 12/01/2015 Medicare and Commercial products for Coventry/Aetna Health Plan will only be managed by WonderBox Technologies.

As a reminder ATA-FL manages therapy services for all regions for Sunshine Health Plan’s MMA and Child Welfare members and ATA-FL manages therapy services for Regions 1, 2, 3, 5, 6, 7 and Okeechobee and Indian River counties in Region 9 for Coventry Health Plan.

Payer ID 65064

Please note that effective 12/1/2015 Payer ID 65064, currently used for Sunshine Health and Coventry/Aetna EDI claims submissions, will be retired and all claims submitted to that Payer ID cannot be processed.