Provider Training

April 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 https://www.sunshinehealth.com/newsroom/Sunshine-Health-Providers-Can-Complete-Training-Through-Relias-Learning-Management-System.html.

How to sign up

  1. Follow the link by pressing Ctrl + Click over the date below to register for the 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

Webinar dates (click date to register):

April 3, 5, 10, 12, 17, 19, 24, 26

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

Webinar dates (click date to register):

April 13, 20, 27

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

Webinar dates (click date to register):

April 11

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

Webinar dates (click date to register):

April 18