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New Features in the Secure Provider Portal

Date: 03/16/21

Fort Lauderdale, Fla.

Sunshine Health values our relationship with our provider partners. We believe a key component of meeting provider needs is our Secure Provider Portal, which enables providers to conduct business with Sunshine Health from the convenience of their desktops seamlessly and in real time. 

New Feature

Sunshine Health is pleased to announce, effective April 1, 2021, an exciting new tool, InterQual Connect™, will be available in our web authorization request process within our Secure Provider Portal. InterQual Connect (IQC) is an integrated medical review solution, enabling payers and providers to streamline the medical review process and eliminate redundant reviews. Adding these features will simplify the provider experience. InterQual Connect is available to Sunshine Health Medicaid, Long Term Care, Child Welfare, Medicare (Allwell) and Marketplace (Ambetter) providers.

The web authorization process and InterQual Connect offer several new capabilities:

  • Streamlined web authorization request
  • Advises users if a service requires/does not require authorization or is not covered
  • Easy access to InterQual Connect to complete medical review
    • Completed InterQual medical review will automatically be included with your web authorization submission
    • Possible same-day approval based on outcome of a completed InterQual medical necessity review 
  • Identifies nonsubmitted service lines and provides reason for nonsubmittal

Want Training?

Sunshine Health is pleased to offer training on these exciting enhancements. How to sign-up:

  1. Register for the webinar session. NOTE: Each webinar registration is unique and can only be used by the individual that registered.
  2. You will receive a confirmation email with a link and instructions for joining the webinar. NOTE: Please check junk folder if confirmation is not received.
  3. When you join the webinar, the call-in telephone number and an attendee passcode will be displayed. NOTE: Please check junk folder if confirmation is not received

We believe this update to our Secure Provider Portal will create a more user-friendly experience and enhance your ease of doing business with Sunshine Health.  We hope you will take a moment to explore these new features beginning April 1, 2021.

Please contact Provider Services at 1-844-477-8313 with any questions you may have.