Ambetter from Sunflower Health Plan Appeals and Grievances Addresses

Date: 09/10/18

Thank you for your continued partnership with Ambetter from Sunflower Health Plan. In order to ensure that we can properly address complaints, grievances and appeals, please make note of the following information.

Sending non-claim related complaints/grievances and member appeals to the incorrect address may cause a delay in review. To avoid any possible delays, please refer to the below information to clarify where your documents should be sent.

Non-claim related complaints/grievances and member appeals (appeals of prior authorization decisions related to medical necessity) should be sent to:

Ambetter
Attn: Appeals & Grievances
8325 Lenexa Drive, Suite 410
Lenexa KS 66214

Provider claim disputes should be sent to:

Ambetter
Attn: Claim Disputes
PO Box 5000
Farmington, MO 63640-5000

If you have any questions about this, or any aspect of doing business with Ambetter from Sunflower Health Plan, please contact Provider Services at 1-844-518-9505.