eAUTH Outpatient

New: Electronic-Only Submission Process for Outpatient Authorization Requests

Sunshine Health is committed to advancing excellence in healthcare. To do so we routinely implement business process changes to benefit our members and network providers. This includes leveraging more advanced technologies to improve administrative processes. For this reason, Sunshine Health has migrated to an electronic-only submission process for outpatient authorization requests ("eAUTH"). The only exception is for home health requests related to hospital discharges. Those should continue to be faxed.

We believe that electronic submissions will ensure optimal coordination of care in the timeliest manner possible based on the clinical urgency of the situation. For this reason, outpatient authorization requests submitted via telephone or fax will no longer be processed. 

If you haven’t already done so, please sign up for your secure, online account through the Sunshine Health provider portal. As a user, you can simplify administrative tasks, view patient history, submit and manage claims, and submit authorization requests. All you need to register is your tax ID number and email address.

We understand that this new process will change your workflow. To assist in the transition, the following materials will assist you in learning more about our eAuth submission process: 

eAUTH Frequently Asked Questions

eAUTH Emergent Outpatient Authorization Requests: Commonly Used Terms

Quick Reference Guide to eAUTH Authorization Requests

eAUTH Submission Protocol

Provider Portal Registration Instructions