Sunshine State Health Plan Provider Portal

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Sunshine Health Provider Portal & Resources Sunshine Health

(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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Florida Medicaid & Health Insurance Sunshine Health

(1 days ago) WebSunshine Health offers various health plans for Florida residents, including Medicaid, Medicare, Children's Medical Services and Health Insurance Marketplace. …

https://www.sunshinehealth.com/

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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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Electronic Transactions Provider Resources Sunshine Health

(9 days ago) Web23 rows · To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 6075525. The following list contains contact …

https://www.sunshinehealth.com/providers/resources/electronic-transactions.html

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Provider Toolkit Secure Provider Portal - Ambetter from Sunshine …

(6 days ago) WebManage patient administrative tasks, claims, and prior authorization requests with the Secure Provider Portal from Ambetter from Sunshine Health. Access multiple TINs, …

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

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Secure Provider Portal Registration - Centene

(1 days ago) WebTo register for the Secure Provider Portal, follow the instructions below: Go to www.sunshinehealth.com and select “For Providers” at the top of the page. Select …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/SecureProviderPortalRegistration-web.pdf

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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 …

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

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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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Clinical & Payment Policies - Ambetter from Sunshine Health

(5 days ago) WebClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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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 …

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

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Secure Provider Website - Sunshine Health

(9 days ago) Web12 Update an account 1. Click the Update Account button. You are able to update the details of your account, and your security information. Change/Update Name Change/Update …

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

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Florida Health Insurance Plans: Medicaid, Medicare & Marketplace …

(4 days ago) WebSunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals …

https://www.centene.com/products-and-services/browse-by-state/florida.html

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Health Insurance Provider Support Ambetter from Sunshine Health

(6 days ago) WebLearn how to use the Ambetter Provider Toolkit to simplify your administrative responsibilities and provide quality care. Find out how to access the secure web portal, …

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

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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 …

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

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Provider and Billing Manual 2024 - Ambetter from Sunshine …

(5 days ago) Weband HMO products that are underwritten by Sunshine State Health Plan. PRO_120085E Internal Approved 01/01/2024 SECURE PROVIDER PORTAL 16. Qualified Health …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2024-Ambetter-Provider-Manual.pdf

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Provider Newsletter: Q1 2024 Highlights Sunshine Health Has …

(6 days ago) WebSunshine Health Has Training Providers Need. Provider Newsletter: Q1 2024 Highlights. 1-844-477-8313. SH_7612. Health Plan Provider Manual (PDF) Improving the …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/SH-PRO-PE-Q1-2024.pdf

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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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