The Sunshine Health Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks, enhance patient care management, and improve overall operational efficiency. This secure online tool provides contracted healthcare providers with immediate access to critical patient and claims information.
Official Portal Links
- Provider Portal: https://provider.sunshinehealth.com
- Member Portal: https://member.sunshinehealth.com
What Providers Can Do in the Portal
The Sunshine Health Provider Portal empowers healthcare professionals with robust functionality, including:
- Member Eligibility Verification: Quickly confirm patient insurance coverage
- Claims Management: Submit and track claims electronically
- Authorization Processing: Submit and confirm medical authorizations
- Patient List Management: View detailed patient information
- Demographic Updates: Keep provider information current
Access and Registration
Eligibility for Portal Access
- Contracted Sunshine Health providers can register immediately
- Non-contracted providers can register after submitting their first claim
Login Process
- Visit the secure provider portal website
- Select “Login/Register”
- Complete registration using organizational credentials
- Verify account details
Key Features and Services
Comprehensive Provider Resources
- Electronic transaction capabilities
- Assessment tools
- Provider training materials
- Billing and claims support
- Integrated care resources
Privacy and Security
Sunshine Health prioritizes data protection with:
- Secure login protocols
- Encrypted data transmission
- Compliance with healthcare privacy regulations
Customer Support
Provider Services Call Center
- Phone: 1-844-477-8313
- Hours: Monday-Friday, 8 a.m. to 8 p.m. Eastern
- Additional support through online request forms
Additional Support Resources
Provider Engagement
- Personalized Account Managers
- County-specific support allocation
- Training and integration assistance
Provider Town Halls
Sunshine Health offers ongoing Provider Town Hall sessions to:
- Share post-integration updates
- Provide process navigation guidance
- Offer specialty-specific information
Registration
- Limited space available
- Advanced registration recommended
- Recordings of previous sessions available
Important Considerations
System Requirements
- Recommended: Updated web browser
- Adobe Reader for PDF documents
- Stable internet connection
Unprovided Information
Some specific details were not explicitly stated in the source documents, including:
- Exact login procedure steps
- Detailed security protocol specifics
- Comprehensive feature list
The Sunshine Health Provider Portal represents a critical digital tool for healthcare professionals, offering streamlined administrative processes, secure information management, and enhanced patient care coordination.
Contact Information
- General Phone: 1-866-796-0530
- TTY: 1-800-955-8770
- Address: P.O. Box 459089, Fort Lauderdale, FL 33345-9089
Note: Portal features and accessibility are subject to change. Always verify current information directly with Sunshine Health.
FAQ
Is Sunshine Health Florida Medicaid?
-
Sunshine Healthhttps://www.sunshinehealth.comFlorida Medicaid & Health Insurance | Sunshine Health
-
Sunshine Healthhttps://www.sunshinehealth.comFlorida Medicaid Providers & Health Insurance Plans | Sunshine HealthState-sponsored Medicaid benefits for eligible Floridians. Sunshine Health is a Florida Medicaid health plan that has been providing services in Florida since 2…
How do I contact Sunshine Health Florida?Do you need more information or have a question? Please fill out the below form or contact us at 1-866-796-0530. Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry.
Who is the Sunshine State Health Plan?Sunshine Health is a wholly owned subsidiary of Centene Corporation, a diversified, multi-national healthcare enterprise focusing on under-insured and uninsured individuals. Sunshine Health offers government-sponsored managed care through Medicaid, Long Term Care, Medicare and Florida’s Health Insurance Marketplace.
https://www.sunshinehealth.com/providers.html
Secure Provider Portal · Verify member eligibility · Manage claims · Manage authorizations · View patient list · Login/Register. Login. Standards for
https://www.sunshinehealth.com/login.html
After creating an account within the Sunshine Health provider portal you can: Verify member eligibility. Check & submit claims. Submit & confirm authorizations.