Sunshine Health is committed to providing our participating providers with the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims.

EDI

Send professional and institutional claim, encounter or receive an electronic remittance advice/explanation of payment (ERA/EOP) transactions electronically, as well as request other HIPAA electronic transactions.

PaySpan Health (EFT/ERA) Free Service for Providers
How to Register for PaySpan Health

Sunshine State Health Plan and Payformance are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).  Providers are able to enroll with PaySpan after they have received their completed contract or submitted a claim.

Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.