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We are proud to have a network of providers and professionals who are passionate about quality care. Every member of Sonder is unique and therefore needs care tailored to them. That’s where every provider comes in.
It’s where you make a difference.
Welcome to the Sonder Health Plans Network.
You can find procedures, departments information and all information about being in the Sonder Health Plans Network within our Provider Manual.
Here’s how the Sonder Team and our network of providers are working to support our members and continue to keep them save during these trying times.
Sonder Health Plans values the relationship between a Member and their Primary Care Provider (PCP), a well as supports the role of the PCP as the manager of the Member’s primary, preventative, acute and chronic health care needs. PCPs are responsible for initiating specialist referrals and for obtaining or facilitating any required pre-authorizations.
Specialty Providers are responsible for providing quality care for contracted and covered health care services to eligible Members, and for ensuring that any required referrals and/or authorizations have been obtained.
Please refer to our Service Specific Referral Not Required List – This list will identify what services a Specialty Provider may render under a PCP’s initial referral for consultation/visit. Any additional services not listed, the Specialty Provider must reach out to PCP to discuss Member record and progress note to obtain a PCP Referral Form prior to proceeding with additional services.
PCPs may use any referral documentation type, such as their own internal referral forms, or script for initial referrals to a Specialty Provider; however, if PCP is referring to a Specialist for services that are NOT listed under our Service Specific Referral Not Required List, a PCP Referral Form must be completed and faxed to 1(888) 217-4320 to notify SHP of the referral.
Sonder Health Plans, Inc. (SHP) Members have access to Medicare-Covered preventive services at no cost. Please make sure to confirm Member eligibility and to submit your claims/encounter data into SHP as required to comply with prevailing Medicare and documentation standards.
Use the following button below to access the Medicare interactive chart for detailed information on coverage and coding requirements. For a downloadable version instead of the interactive webpage, click here.
Filing a claim shouldn’t be stressful. We want to ensure providers in our network can get their claims filed easily so you can focus more time on care.
For details on the claims filing process and your responsibilities, please refer to our Sonder Health Plans Provider Manual, section
Payor ID:
Availity Payor ID: A0339
Please send all paper claims to:
Sonder Health Plans, Inc.
P.O. Box 3325
Springhill, FL 34611
For the Sonder Health Plans Claims Department: 1 (888) 525-1730 or email us at [email protected].
