Provider Training

August 2018 Statewide Provider Training/Orientation Webinars

Sunshine Health is excited to offer the following training opportunities through Relias Learning Management System. You can obtain more information by logging on to Relias Learning Management System

Don’t have a Relias Learning Management login? Get signed up for Relias Learning Management.

How to sign up

  1. Click the date below to register for a webinar.
  2. A webinar invitation will be sent to you via email. Once the invitation is received, click on the link provided in the email to register (this step is required for attendance).
  3. 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.
  4. When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.

Training Highlights

  • Sunshine Health overview
  • Product overview- Medicaid, Healthy Kids, Ambetter, Allwell
  • Partnership and network
  • Covered services and expanded benefits
  • Prior authorization
  • Billing overview
  • Provider web portal
  • Electronic funds transfer/electronic remittance advice
  • Marketing (per AHCA contract)
  • Fraud, waste and abuse
  • Provider support
  • Contact information

Training Highlights

  • Overview of Sunshine Health web portal
  • Helpful provider resources
  • How to register/add users and log in to the secure portal
  • Account management overview
  • Patient eligibility check
  • Patient cost-sharing
  • Authorizations and claims features
  • Reports available to PCPs

Training Highlights

  • Overview of the Affordable Care Act
  • The health insurance marketplace
  • Verification of eligibility, benefits and cost share
  • Specialty referrals
  • Prior authorization
  • Claim submission
  • Claim payment
  • Grievances and appeals
  • Specialty companies/vendors
  • Ambetter website
  • Member incentives
  • Fraud, waste and abuse
  • Contact information

Register for the Aug. 8 Ambetter Provider Orientation.

Training Highlights

  • Plan overview
  • Membership, benefits and additional services
  • Providers and authorizations
  • Preventive care and screenings
  • Model of care
  • Medicare STAR ratings
  • CMS mandatory trainings

Register for the Aug. 15 Allwell Provider Orientation.

Training Highlights

  • About Sunshine Health
  • Products and service areas
  • Authorization process
  • Submitting claims
  • Pay span: electronic claim payments
  • Complaints and appeals
  • Pharmacy benefits and transportation
  • Contact information

Register for the Aug. 29 Behavioral Health Provider Orientation.

Training Highlights

  • About us and Member ID cards
  • Long Term Care and eligibility
  • Elegibility verification
  • Services
  • Value added benefits
  • Disease, behavioral management
  • AHCA mandatory trainings
  • Relias training opportunity
  • Cultural competency
  • Case management
  • Provider responsibilities
  • Prior authorizations and referrals
  • Assisted Living Facilities
  • Home health and DME coordination of benefits
  • Claims and billing
  • Electronic claims
  • Paper claims
  • Claims payment and pay span
  • Web portal registration
  • Claim wizzard demonstraton
  • Recredentialing
  • Adverse incidents
  • Informal claim and provider complaints
  • Important contacts

Register for the Aug. 22 Long Term Care Provider Orientation.