Sunshine State Health 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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Eligibility Verification Sunshine Health

(Just Now) WebLearn how to verify member eligibility for Sunshine Health plans using the secure provider portal or other methods. Find out the eligibility criteria and requirements for …

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

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Florida Provider Resources Florida Medicaid Sunshine Health

(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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For Providers - Ambetter from Sunshine Health

(9 days ago) WebFind out how to access your account, check pre-auth status, view drug list, join network, and more as an Ambetter provider. Learn about our clinical and payment policies, …

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

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Florida Medicaid Pre-Authorization Sunshine Health

(9 days ago) WebOur Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line …

https://www.sunshinehealth.com/providers/preauth-check.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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Secure Provider Website - Sunshine Health

(9 days ago) WebThe Secure Provider Web is a secure website developed to allow Providers across Centene health plans to perform a variety of functions from their office. By registering …

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

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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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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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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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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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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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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WebAmbetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687-1169 (Relay Florida 1-800 …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.pdf

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Contact Us Sunshine Health

(6 days ago) WebAmbetter: 1-833-750-1160. For questions on the formulary or a drug that is provided through a retail pharmacy or specialty pharmacy call. Ambetter, Medicaid, Serious Mental Illness …

https://www.sunshinehealth.com/providers/contact-us.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 contractually reports rates to the State of Florida based …

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

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WebContact the Sunshine Health Provider Services Department, 8am to 7pm EST, Mon-Fri, at phone 866-796-0530, or fax reports rates to the State of Florida based on claims …

https://physicianscarenetwork.org/images/stories/NEW_Sunshine-quick_reference.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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Provider Toolkit Quick Reference Guide - Ambetter from Sunshine …

(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 …

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

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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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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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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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May 2024: Perinatal Mood and Anxiety Disorders Awareness Month

(4 days ago) WebWHEREAS, more than 26,000 Michiganders and their families are affected by Perinatal Mood and Anxiety Disorders (PMAD) each year, historically known as either …

https://www.michigan.gov/whitmer/news/proclamations/2024/05/01/may-2024-perinatal-mood-and-anxiety-disorders-awareness-month

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Federal Register /Vol. 89, No. 87/Friday, May 3, 2024/Notices …

(8 days ago) Webproviders may complement the aggregate line item with an itemized explanation of the elements that compose that single line item. 47 CFR 76.310(b) …

https://www.govinfo.gov/content/pkg/FR-2024-05-03/pdf/2024-09752.pdf

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