Healthcare providers in Florida now have a powerful digital tool to streamline administrative tasks and enhance patient care through the Ambetter Health Secure Provider Portal. This comprehensive online platform is designed to simplify provider operations and improve overall efficiency in healthcare management.
Official Links
- Provider Toolkit Secure Portal: provider.sunshinehealth.com
- Provider Resources: Ambetter Health Provider Resources
What Is the Ambetter Provider Portal?
The Ambetter Health Secure Provider Portal is a robust digital platform that offers healthcare providers a centralized system for managing patient administrative tasks quickly and efficiently. It provides a single point of entry for accessing critical member information across multiple practices and tax identification numbers (TINs).
Key Features for Healthcare Providers
Comprehensive Patient Management
- View patient demographics and history
- Access daily patient lists from a single screen
- Check patient eligibility and care gaps
- Secure messaging between providers and Ambetter Health
Claims and Administrative Tools
- Submit and manage batch claims at no cost
- View detailed Electronic Funds Transfer (EFT) payment history
- Update provider demographics
- Simplify prior authorization processes with “Smart Sheets” feature
Who Can Use the Portal?
The portal is specifically designed for:
- Healthcare providers in Florida
- Medical practices with multiple TINs
- Providers seeking efficient administrative management
How to Access the Portal
- Visit provider.sunshinehealth.com
- Click “Create an Account”
- Have your tax ID number ready during sign-up
Portal Security and Privacy
Ambetter Health emphasizes:
- Protected and convenient access
- Secure information management
- Compliance with healthcare privacy standards
Customer Support
For assistance:
- Contact Ambetter Health at 1-877-687-1169
- Relay Florida: 1-800-955-8770
Additional Resources
Providers can also access:
- Pre-Authorization Check Tool
- Preferred Drug List
- Clinical and Payment Policies
- Provider Toolkits
Mobile Accessibility
Ambetter Health offers a mobile app for on-the-go access to provider resources and information.
Unprovided Information
Some specific details about advanced portal functionalities were not explicitly detailed in the source documents. Providers are encouraged to contact Ambetter Health directly for comprehensive feature information.
The Ambetter Health Secure Provider Portal represents a significant advancement in healthcare administrative technology, offering Florida providers a streamlined, efficient, and secure platform for managing patient information and practice operations.
Disclaimer
Ambetter Health is underwritten by Celtic Insurance Company, Centene Venture Company Florida, and Sunshine State Health Plan, Inc. The portal and services are subject to the company’s current policies and terms of service.
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FAQ
What is Ambetter called in Florida?Sunshine Health’s plan is called Ambetter. Ambetter offers affordable health care coverage for individuals and families.
Is Ambetter the same as sunshine health in Florida?Sunshine Health received approval to sell Ambetter products as a Qualified Health Plan provider on Florida’s Health Insurance Marketplace in 2013. Residents in the state can purchase Ambetter plans in three metal categories: Ambetter Essential Care Bronze, Ambetter Balanced Care Silver, and Ambetter Secure Care Gold .
Does Ambetter have a portal?Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter Health coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan.
How do I contact Ambetter, Florida?You can also reach us from 8am-8pm EST at 1-877-687-1169 (Relay Florida 1-800-955-8770). Error: This field is required.
https://www.ambetterhealth.com/en/fl/provider-resources/provider-toolkit/provider-toolkit-secure-provider-portal/
Secure Provider Portal · View patient demographics & history · Secure messaging between provider & Ambetter Health · Update provider demographics.
https://www.ambetterhealth.com/en/fl/provider-resources/
Login to Your Account Access your secure provider information any time. Ambetter Health Florida Provider Portal