The HealthSun Provider Portal represents a comprehensive digital platform designed to streamline healthcare provider interactions, offering efficient management of patient information, claims, and administrative tasks. This secure online system empowers healthcare professionals with quick access to critical resources and patient-related services.
Official Links
- Provider Portal Sign-In: https://provider.healthsun.com/Account/SignIn
- HealthSun Provider Website: https://provider.healthsun.com/
Portal Access and Functionality
Who Can Use the Portal
The HealthSun Provider Portal is exclusively available to:
- Authorized healthcare providers
- Administrator representatives
- Registered medical professionals within the HealthSun network
Login Process
Providers can access the portal through a secure login mechanism:
- Enter username
- Input password
- Agree to terms and conditions
- Optional: Use two-factor authentication
Key Portal Features
Available Services
- Member Information Verification
- Claim Status Tracking
- Explanation of Payments
- Member Roster Management
- Referral Submission and Tracking
- ICD-10 Code Searches
- Admission Notifications
Privacy and Security
The portal emphasizes robust security protocols:
- Explicit user consent required
- System monitoring and interception capabilities
- Unauthorized access may result in administrative actions
- Compliance with federal privacy regulations
Additional Portal Capabilities
Data Services
- Export Electronic Payment (EOP) EDI 835
- Healthcare Eligibility Benefit Inquiry
- 270/271 Companion Guide Access
Support and Assistance
Contact Information
- Provider Services: 877-999-7776
- Main Office: 305-234-9292
- TTY: 877-206-0500
Hours of Operation
- Monday-Friday: 8am to 8pm
- October-March: 7 days a week, 8am to 8pm
- Closed on Federal Holidays, Thanksgiving, and Christmas
Compliance and Additional Resources
HealthSun provides comprehensive compliance support:
- Compliance Hotline: 1-844-420-0080
- Email for Issues: [email protected]
- Medicare Complaint Resolution Options
Technology and Accessibility
Support Applications
- Downloadable support apps available
- Multilingual support (English, Spanish, Haitian Creole)
Unprovided Information
Some specific details were not explicitly available in the source documents, such as:
- Detailed two-factor authentication process
- Specific app download instructions
- Comprehensive step-by-step portal navigation guide
The HealthSun Provider Portal offers a secure, feature-rich platform for healthcare providers, combining efficiency, compliance, and comprehensive service management.
Compliance Note
HealthSun Health Plans is an HMO plan with a Medicare Contract, consistently achieving a 5-star Medicare rating for contract years 2018-2025. The organization adheres to federal civil rights laws, ensuring non-discriminatory service provision.
Contact Details
- Address: 11430 NW 20th Street, Suite 300, Miami, FL 33172
- Secure Email: [email protected]
Disclaimer: Information accurate as of July 2024, subject to periodic updates by HealthSun Health Plans.
https://provider.healthsun.com/Account/SignIn
Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Our hours of operation are Monday through Friday, 8am to 8pm. During October through March,
https://provider.healthsun.com/
Dear provider, by clicking Continue below, you will be leaving the HealthSun Provider Portal website and going to ,which is not affiliated with HealthSun.