Provider Resources, Manuals & Forms | Ambetter from Sunshine Health

 

Ambetter Provider Resources
 

Need Help?

Please contact your local Provider Engagement Administrator with questions. You can find your Provider Engagement Administrator by selecting the county of the primary office for your organization.


Ambetter provides the tools and support you need to deliver the best quality of care.

About Our Plans

Ambetter offers Marketplace insurance plans with different coverage, benefit options and premium levels. We expanded our plans in 2023 to help members find more coverage options. Learn more below about the options, including the new Select, Value and Virtual plans.

Call Provider Services For Help

If you need help, call Provider Services at 1-877-687-1169 (Relay Florida 1-800-955-8770) Monday through Friday from 8 a.m. to 8 p.m. Eastern. Stay up to date on Ambetter from Sunshine Health provider notices by reviewing and bookmarking Provider News.

Provider Toolkit

We believe that delivering quality care doesn’t have to be complicated. So, to make working with us easier, we developed the Ambetter Provider Toolkit. It’s designed to provide you with valuable education and materials to simplify your administrative responsibilities—so you can focus on providing care.

Provider Forms

Training

Reference Materials

Medical Management

Behavioral Health

Claims and Claims Payment

Quality

Fraud, Waste, and Abuse