Sunshine Health, Availity Essentials Launch New Secure Provider Portal
Date: 09/18/24
Sunshine Health has partnered with Availity Essentials to launch a new Secure Provider Portal. Starting Monday, November 18, 2024, providers can verify eligibility and benefits, submit authorizations and access Sunshine Health payer resources via Availity Essentials.
If you are already using Essentials, you can log in to your existing Essentials account to use it for members of Sunshine Health, Children’s Medical Services (CMS) Health Plan and Ambetter starting Monday, November 18, 2024. Here are some highlights:
- Use Availity Essentials to verify member eligibility and benefits, submit claims, check claim status, submit authorizations and complete other tasks.
- There will be additional functionality in Sunshine Health’s payer space on Essentials. Use the heart icon to add apps to My Favorites in the top navigation bar. Our current secure portal will still be available for other functions you are still using.
- Use the Manage My Organization feature to save provider information. Your staff can then auto-populate that information repeatedly to eliminate repetitive data entry and reduce errors.
If you are new to Availity Essentials, obtaining an Essentials account is the first step toward working with Sunshine Health on Availity.
Getting started: Designate an Availity administrator for your provider organization
Your provider organization’s designated Availity administrator is the person responsible for registering your organization in Essentials and managing user accounts. This person should have legal authority to sign agreements for your organization.
| HOW DOES THIS IMPACT ME? | WHAT IS MY NEXT STEP? |
|---|---|
I am the administrator. I am the designated Availity administrator for my organization. | Register and Get Started with Availity Essentials to enroll for training and access other helpful resources. |
I am not the administrator. I am not the designated Availity administrator for my organization. | Your designated Availity administrator will determine who needs access to Availity Essentials on behalf of your organization and will add user accounts in Essentials.
|
I am not sure. I am not sure who will be the designated Availity administrator for my organization. | Share this information with your manager to help determine who will be the designated Availity administrator for your organization. |
Providers can join one of our upcoming free webinars to learn additional tips for streamlining your workflow.
Availity Essentials Questions?
We're excited to welcome you to Availity Essentials and help transform the way you impact patient care with Sunshine Health. If you need additional assistance registering, please call Availity Client Services at 1-800-AVAILITY (1-800-282-4548). Assistance is available Monday through Friday, 8 a.m. to 8 p.m. Eastern.
Sunshine Health Questions?
If you have any questions, please call Sunshine Health Provider Services at 1-844-477-8313 or visit the Secure Provider Portal. Our Provider Engagement staff are also here to help answer questions. Visit the Find Your Provider Engagement Account Manager tool to confirm the individual supporting your specialty and region. We encourage you stay up to date on Sunshine Health provider notices by reviewing and bookmarking Provider News.
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