Due to the current Public Health Emergency declared by the State of Florida and the Chairman of the Seminole Tribe of Florida, the Tribal Council has declared an emergency closing Tribal Wide beginning Monday, March 16, 2020 until further notice, as we strive to keep our Tribal Community and employees safe at this time. 

Some Seminole Tribe Of Florida  and Seminole Tribe Of Florida, Inc. departments have 24/7 operations and will remain open with limited business hours until further notice. Please check our site for continuous updates and information. We Thank You for your continued business and support.

 

 

Services

What We Provide

Health and Human Services

Welcome to Eligibility & Utilization Services​​​

The Eligibility & Utilization Services Program is where access to health services begins. This program provides many services to patients including:

  • Registration for the Seminole Tribe of Florida Self-Funded Supplemental Health Plan – Tribal Members Only
  • Registration for Health Services for other individuals eligible for direct health care and purchased/referred care in accordance with 42 CFR Part 136 and other Seminole Tribe of Florida guidelines
  • Generate referrals and schedule appointments for patients requiring services outside of the Seminole Tribe of Florida Health Clinic
  • Provide education and assistance to patients concerning eligibility, registration for health services, and benefits
  • Distribute Seminole Tribe of Florida Self-Funded Supplemental Health Plan cards and Plan books 
  • Negotiate rates with out of network providers when necessary
  • Ensure HIPAA compliance
  • Assist patients with matters related to HIPAA and privacy complaints
  • Manage the Medicare Premium payment/reimbursement program
  • Audit global invoices and check runs
  • Manage Catastrophic Health Emergency Fund​
 

 

 

 

 

 

 

 

 

KathyWilson

  Kathy Wilson, BS

  Program Manager & Privacy Officer 

  Ext: 11810



Debi DeHass - Eligibility & Utilization Auditor

Cassandra Martinez - Eligibility Coordinator

Crystal McPartland - Administrative Assistant

Karen Twan Shaw - Patient Services Coordinator
Hollywood Health Clinic

Sasha Badenhorst - Patient Services Coordinator
Big Cypress Health Clinic​

Candice Diehl - Patient Services Coordinator
Brighton Health Clinic

Ulecia Green - Patient Services Coordinator
Immokalee Health Clinic​​​​​​


Eligibility & Utilization Services

 

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