Allwell Provider Materials
Allwell from Sunflower Health Plan
Provider Forms
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Electroconvulsive Therapy (ECT) Authorization Request Form (PDF)
- Inpatient Neuropsychological Testing Authorization Request Form (PDF)
- Outpatient Psychological Testing Authorization Request Form (PDF)
- Outpatient Treatment Request Form (PDF)
- Non-Par Provider Appeal Form (PDF)
- Par Provider Payment Reconsideration Form (PDF)
Other Resources
- QMB Balance Billing FAQs - information about balance billing qualified medicare beneficiaries
- Sunflower Member ID Card Reference Sheet (PDF)
Training Resources
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Allwell Provider News
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