Sunshine Health Portal Provider

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Sunshine Health Provider Portal & Resources Sunshine …

(5 days ago) WebProviders and third-party billers: Beginning June 17, 2024, please use the self-service option on our Secure Provider Portal for general claims status. Secure Provider Portal …

https://www.sunshinehealth.com/providers.html

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Eligibility Verification Sunshine Health

(Just Now) WebProviders are asked to verify member eligibility by using the Sunshine Health secure provider portal. Using the portal, any registered provider is able to quickly check …

https://www.sunshinehealth.com/providers/eligibility-verification.html

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New Features in the Secure Provider Portal Sunshine …

(7 days ago) WebNew Feature. Sunshine Health is pleased to announce, effective April 1, 2021, an exciting new tool, InterQual Connect™, will be available in our web …

https://www.sunshinehealth.com/newsroom/new-features-in-the-secure-provider-portal.html

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For Providers - Ambetter from Sunshine Health

(9 days ago) WebHealthy partnerships are our specialty. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. You’re dedicated to …

https://ambetter.sunshinehealth.com/provider-resources.html

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Florida Provider Resources Florida Medicaid Sunshine …

(5 days ago) WebElectronic Data Interchange (EDI) EDI support for HIPAA transactions is provided by Sunshine Health’s corporate office, Centene Corporation. For support, please contact …

https://www.sunshinehealth.com/providers/resources.html

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Provider Toolkit Secure Provider Portal - Ambetter from Sunshine …

(6 days ago) WebAccess Daily Patient Lists from One Screen. One concise view allows primary care providers to scan patient lists for Ambetter from Sunshine Health member eligibility, …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-secure-provider-portal.html

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Florida Medicaid & Health Insurance Sunshine Health

(1 days ago) WebA session will be held on June 27, 2024, from 1:30 to 4 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today.

https://www.sunshinehealth.com/

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Find a Doctor or Pharmacy - Wellcare

(2 days ago) WebUse the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, pharmacies, and other providers. Consider choosing a doctor or provider that’s in …

https://wellcare.sunshinehealth.com/find-doctor.html

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Provider Toolkit Prior Authorization Guide - Ambetter …

(9 days ago) WebIf a service requires authorization, submit via one of the following ways: SECURE WEB PORTAL. provider.sunshinehealth.com. This is the preferred and fastest method. PHONE. 1-877-687-1169. After normal …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-prior-authorization-guide.html

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Secure Provider Website Registration

(1 days ago) WebTo register for the Secure Provider Portal, follow the instructions below: 1. Browse to the public website. Go to “For Providers” 2. Select “Login” 3. On the Login Screen, click the …

https://provider.sunshinehealth.com/static/provider/Provider_Registration_Doc_All_Plans.pdf

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Secure Provider Website - Sunshine Health

(9 days ago) WebNote: the Health Plan will first verify your account (which can take up to 48 hours) and you will receive an email when the account has been activated. Login Below is the screen …

https://provider.sunshinehealth.com/static/provider/docs/Secure_Provider_Website_Manual_NOV2017.pdf

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Provider Resources - Ambetter from Sunshine Health

(7 days ago) WebCall Provider Services For Help. If you need help, call Provider Services at 1-877-687-1169 (Relay Florida 1-800-955-8770) Monday through Friday from 8 a.m. to 8 p.m. Eastern. …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms.html

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Portal for Members Login Sunshine Health

(1 days ago) WebSunshine Health offers many convenient and secure tools to assist you. You also have access to your healthcare information. To enter our secure portal, click on the login …

https://www.sunshinehealth.com/login.html

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Provider Quick Reference Guide - Centene

(Just Now) WebContact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or fax 866-614-4955 for assistance with the following services:

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/Provider-Quick-Reference-Guide-PDF1.pdf

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Pre-Auth Tool Ambetter from Sunshine Health

(6 days ago) WebBehavioral Health/Substance Abuse need to be verified by Sunshine Health. Oncology Biopharmacy, Radiation Oncology drugs, and administration of Radiation Oncology need to be verified by Evolent. Drug authorizations need to be verified by Envolve Pharmacy Solutions; for assistance call 866-399-0928. Post-acute facility (SNF, IRF, and LTAC) …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/pre-auth.html

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Provider Toolkit Quick Reference Guide - Ambetter from Sunshine Health

(5 days ago) WebUse the Pre-Auth Needed tool on our website to determine if prior authorization is required. Submit prior authorizations via: Secure Provider Portal. External Link. Medical Fax: 1-855-678-6981. Behavioral Fax: 1-844-208-9113. Phone: 1-877-687-1169. Claims. Timely Filing guidelines: 180 days from date of service.

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-quick-reference-guide.html

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SECURE PORTAL ACCOUNT MANAGER - Sunshine Health

(7 days ago) WebAssessments: Complete or view a Health Risk Assessment (HRA) or Notification of Pregnancy (NOP) for a patient. Authorizations: View and submit authorizations. 1 2 3 …

https://provider.sunshinehealth.com/static/provider/docs/PRO_39161_SPS_FL.pdf

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WellCare and Sunshine Health are joining health plans Wellcare

(1 days ago) WebIn Florida, WellCare Health Plans and Sunshine Health are bringing our health plans together to better serve our members, providers, partners and communities. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in-class care to our members. Right now, nothing is …

https://www.wellcare.com/Florida/Providers/Bulletins/WellCare-and-Sunshine-Health

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Contact Us Allwell from Sunshine Health - Wellcare

(1 days ago) WebProvider Services: 1-877-935-8022 (TTY: 711) From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us …

https://wellcare.sunshinehealth.com/contact-us.html

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Florida Cenpatico

(3 days ago) WebProviders needing personal assistance can call Sunshine Health: Medicaid/Healthy Kids: 866-796-0530. Child Welfare: 855-463-4100. Ambetter: 877-687-1169. Medicare: 877 …

https://www.cenpatico.com/providers/fl.html

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Welcome to New Jersey Medicaid 2

(5 days ago) WebProvider Services. 1-800-776-6334. Click here for ICD 10 Resources. Revised: A revised DMAHS Disclosure of Ownership Form (FD-452) dated May 2023 has been published replacing the current FD-452 Form. All provider application packages have been updated with the May 2023 version of the form FD-452. For any documentation received on or …

https://www.njmmis.com/default.aspx

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