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To contact a Provider Services representative, call 1-844-477-8313. For questions on medical or behavioral health authorizations, call 1-844-477-8313. For pharmacy providers with questions on prescription claim processing call the Pharmacy Help Desk. Medicaid, Serious Mental Illness and Child Welfare: 1-833-750-4392.
Sunshine Health, Availity Essentials Launch New Secure Provider Portal. Starting November 18, 2024, providers can verify eligibility and benefits, submit authorizations and access Sunshine Health payer resources via Availity Essentials.
To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-866-796-0530 to speak directly to a customer service representative.
Please contact Member Services by phone at 1-877-687-1169 (Relay Florida 1-800-955-8770) to speak directly to a customer services representative or use the Secure Member Portal. We are happy to assist with any general information via email.
Contact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or fax 866-614-4955 for assistance with the following services: Questions about claim/credentialing/network status. Request for adding physicians to an existing group. Request a free copy of our Provider Manual.
If you need help, call Provider Services at 1-877-687-1169 (Relay Florida 1-800-955-8770) Monday through Friday from 8 a.m. to 8 p.m. Eastern. Stay up to date on Ambetter from Sunshine Health provider notices by reviewing and bookmarking Provider News.
Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through through our Medicaid, Long Term Care and specialty plans.
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Visit provider.sunshinehealth.com and click Create an Account. Have your tax ID number ready during sign up. Questions? Contact Ambetter from Sunshine Health at 1-877-687-1169
You can also call our dedicated Provider Relations Number at 1-407-551-3200, option 2. Please see the attached Frequently Asked Questions for more information and remember to bookmark our Better Together web page.