Importance of In-Network Labs for Member Lab Work
Date: 10/23/25
Sunshine Health is committed to supporting providers in delivering high quality, well-coordinated care. One important part of that commitment is making sure laboratory services are completed through in‑network partners. Using in‑network labs helps prevent unnecessary delays and avoids issues that can impact both your practice and our members.
By using our contracted laboratory partners, you can help reduce:
- Claim denials
- Continuity of care issues
- Delayed lab results
- Non-compliance with payer requirements
- Patient billing issues
We appreciate your partnership in ensuring members receive timely, accurate and cost effective lab services.
Guidance Applies to These Products
- Sunshine Health Medicaid (MMA)
- Comprehensive Long Term Care (LTC)
- Children’s Medical Services (CMS) Health Plan
- Sunshine Health Pathway to Shine Child Welfare Specialty Plan (CWSP)
- Sunshine Health Mindful Pathways Serious Mental Illness Specialty Plan (SMI)
- Sunshine Health Power to Thrive HIV/AIDS Specialty Plan (HIV)
In-Network Labs
Sunshine Health providers should utilize the following labs or find an in-network lab.
Lab Vendor | Accepted Plans | Ordering Info |
|---|---|---|
LabCorp | MMA, CWSP, SMI, LTC, HIV, CMS | Visit: labcorp |
Quest Diagnostics | MMA, CWSP, SMI, LTC, HIV, CMS | Visit: Quest Diagnostics |
Find In-Network Labs: Use the Find a Provider tool to find in-network labs. Always verify a lab’s participation status before referring members for testing.
Questions?
Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Support: Finding the Right Contact
- Provider Services: Call 1-844-477-8313
- Secure Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Claim Concerns: Resolve outstanding claims using the Claim Concerns form.
- Provider News: Bookmark Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Manuals, Forms and Resources to find provider manuals, important forms, scheduling standards and other resources.
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