Provider Portal

Provider Trainings: Important

Dual Eligible Special Needs Plan (D-SNP) Model of Care Training & Medicare Compliance Program Guidelines

DSNP Provider Training DSNP Provider Training Attestation

Provider Compliance Alerts

Compliance is everyone’s responsibility. Our Provider Compliance Alerts provide information and reminders to HealthSun Providers. We highly recommend you to consult this site regularly for information on new Compliance Alerts and other information that will assist our providers in their compliance efforts.

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Provider Notices and Updates

We thank you for being part of our provider network and value your care and attention to our members. Attached you will find helpful information for you to explore.

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Policies and Procedures

Information regarding Billing and Claims

Important Laboratory Notification

LabCorp Laboratories Information

CMS Bulletins

CMS Part D Opioid Prescriber Webinar 20181206 508

CMS PartD Opioid Prescriber Tip Sheet 20181206 508

Inappropriate billing for QMB beneficiaries