Providers

Providers

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.

COVID-19 & Sonder Health Plans

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.

Contact Provider Services

Call Provider Services

Provider Services’s call center is open from 9 am to 5 pm.

Email Provider Services

For general inquiries & questions, contact us via email

Fax Provider Services

Provider Services’s call center is open from 8 am to 7 pm.

Role of Primary Care Providers

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.

Role of Specialists

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.

Sonder Health Plans Referral and Authorization Tools & Documents

Sonder Health Plans (SHP) believes that Members should have access to the care they need. Most services under our Plans do not require Prior Authorization by the plan when services are rendered in an office or similar place of service.

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.

Faxing this PCP Referral Form indicates to SHP that the Specialist has conducted the required follow-up with the PCP and that the PCP has reviewed the required information and has agreed with the Specialist’s proposed plan of care. For those services that do require prior authorization, such as elective inpatient procedures, please see our Prior Authorization Request Form for completion and submission per instructions on the form.

Medicare Preventive Services – Interactive Reference Chart

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.

US Preventive Services Task Force (USPSTF) – Published Recommendations

Providers may use the following link to access USPSTF published recommendations. For a downloadable Preventative Services Check List, click here.

Agency for Healthcare Research and Quality (AHRQ)
– Clinical Practice Guidelines (CPGs)

Providers may use the following link to access the AHRQ CPGs:

Filing Provider Claims

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 claims@sonderhealthplans.com.

Sonder

Medicare Advantage Plans

2024 Plans
2025 Plans
Sonder Plans Service Areas