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Sunshine Health offers free online accounts for providers. Create yours and access the secure tools you need today.
Using the portal, any registered provider is able to quickly check member eligibility by indicating the date of service, member name, and date of birth or the Medicaid ID number and date of birth. Providers may call Provider Services at 1-844-477-8313.
Access Daily Patient Lists from One Screen. One concise view allows primary care providers to scan patient lists for Ambetter from Sunshine Health member eligibility, care gaps, and much more. Manage Batch Claims for Free. Submit and manage claims, including batch files, for free.
To 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 “login” on the left sidebar, or “login/register” in the center of the screen.
To 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 button, “Create an Account” 4. Start your registration: Enter your Tax ID, Name, and E-mail Address, and Create a Password.
As an Ambetter from Sunshine Health in-network provider, you can help deliver high-quality care to our members. See our resources for providers.
If 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 business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line.
After creating an account within the Sunshine Health provider portal you can: Verify member eligibility. Check & submit claims. Submit & confirm authorizations. View detailed patient list. The user manual is available on the secure portal, after you successfully complete the log in process.
The 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 and creating an account, a Provider can easily check patient eligibility, and view their patient list. Providers can view and submit both authorizations and claims through the
Claims: View and submit claims. Manage Account: Enable, disable, modify permissions for a specific TIN, and invite users to set up an account. Eligibility: View and check eligibility for a specific patient. Assessments: Complete or view a Health Risk Assessment (HRA) or Notification of Pregnancy (NOP) for a patient.
