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1. www.sunshinehealth.com › providersSunshine Health Provider Portal & Resources | Sunshine Health

   www.sunshinehealth.com › providers

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   Sunshine Health offers free online accounts for providers. Create yours and access the secure tools you need today.

   • Login

     Provider Portal. Secure Provider Portal Tips. Landing Page...

   • Pre-Auth Check

     Pre-Auth Check Tool. Use our tool to see if a...

   • Find a Provider

     Skip to main content

   • Provider Resources

     Sunshine Health provides the tools and support you need to...

   • Contact Us

     Key Contacts and Important Phone Numbers. Sunshine Health...

   • Provider Training

     Completion of Notification of Pregnancy Form: $50 paid for...

   • Pharmacy

     Sunshine Health is committed to providing appropriate,...

   • Utilization Management

     All utilization management employees are required annually...

2. www.sunshinehealth.comFlorida Medicaid & Health Insurance | Sunshine Health

   www.sunshinehealth.com

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   Jan 1, 2024 · Sunshine Health provides health insurance plans for Florida residents, including Medicaid, Medicare and Health Insurance Marketplace. Find out how to enroll, access services, get news and contact information.

3. www.sunshinehealth.com › content › sunshine-newSecure Provider Portal Enhancements | Sunshine Health

   www.sunshinehealth.com › content › sunshine-new

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   Jun 3, 2020 · Sunshine Health has improved its Secure Provider Portal to make doing business with them easier. You can now manage claims, reconsiderations, prior authorizations, and member eligibility online with new visual trackers and features.

4. www.sunshinehealth.com › newsroom › provider-portalSecure Provider Portal Tips for Account Managers | Sunshine ...

   www.sunshinehealth.com › newsroom › provider-portal

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   Jan 5, 2024 · Learn how to manage your provider organization's affairs on the Secure Provider Portal. Find out how to verify, enable, disable, and modify user accounts and permissions for assessments, authorizations, eligibility, and health records.

5. ambetter.sunshinehealth.com › provider-resourcesFor Providers - Ambetter from Sunshine Health

   ambetter.sunshinehealth.com › provider-resources

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   Find out how to partner with Ambetter Health, a health insurance plan that offers services and support to providers. Login to your account, access pre-auth check, provider toolkits, clinical and payment policies, and more.

6. People also ask

   What is Sunshine Health's payer ID?

   • Sunshine Health’s Payer ID is 68069. The Sunshine Health Medical Management team provides oversight for utilization management, case management, and care coordination. Authorization must be obtained prior to the delivery of certain elective and scheduled services.

   PROVIDER QUICK REFERENCE GUIDE - Sunshine Health

   www-es.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/MMA-Provider-Manual-FINAL-AHCA-12.13.17.pdf

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   Does Sunshine Health require prior approval?

   • Send request to our Utilization Management Department Sunshine Health must approve in advance the services listed below. Prior approval is required for all services by a provider who is not in the Sunshine Health network. The only exception is for emergency care. Emergency room or urgent care visits do not require prior authorization.

   Florida Medicaid Pre-Authorization | Sunshine Health

   www.sunshinehealth.com/providers/preauth-check.html

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   What is the Provider Services Department at Sunshine Health?

   • The Provider Services Department at Sunshine Health will include Provider Relations staff who will be available to respond quickly and efficiently to all provider inquiries. This collaborative effort is designed around the concept of making your experience with Sunshine Health a positive one.

   PROVIDER QUICK REFERENCE GUIDE - Sunshine Health

   www-es.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/MMA-Provider-Manual-FINAL-AHCA-12.13.17.pdf

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   Does Sunshine Health offer quick visit entry?

   • We will discontinue the use of the Quick Visit Entry module for providers utilizing the HHAeXchange Free EVV Portal. The new form is designed to help providers quickly share patient medical information with our contracting team to expedite the SCA process. Sunshine Health offers free online accounts for providers.

   Sunshine Health Provider Portal & Resources | Sunshine Health

   www.sunshinehealth.com/providers.html

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