News
Ambetter: New Provider Portal Enhancements
Date: 05/20/20
Ambetter from Sunflower Health Plan values the relationships we have with our provider partners and works to ensure that doing business with us is easy and straightforward. A key component of meeting provider needs is our Secure Provider Portal, which enables providers to conduct business with Ambetter from the convenience of their desktops seamlessly and in real time.
Portal Enhancements Now Online
We have recently updated several aspects of our online Provider Portal, adding features that will simplify the provider experience.
The next time you log into our Secure Provider Portal, you will find several new capabilities:
- The ability to submit and track the status of claim reconsiderations online
- Expanded free text fields for reconsideration comments and explanations
- The ability to attach required documentation when filing a reconsideration
- Push notification opt in/out for reconsideration status changes
We believe these updates to our Provider Portal will create a more user-friendly experience and enhance your ease of doing business with Ambetter. We hope you’ll take a moment to explore them after your next login.
More Tools to Save You Time
Inside our Secure Provider Portal, you also can:
- Check member eligibility, benefits and cost shares
- Submit claims
- Review payment status
- Request prior authorizations
Our provider portal is your one-stop location for any Ambetter transaction.
Web Self-Service FAQs
- What are the capabilities of your secure provider portal?
- Inside our secure provider portal, you can check member eligibility, benefits and cost shares; submit claims; review payment status; and request prior authorizations. Our provider portal is your one-stop location for any Ambetter transaction.
- What are the new features now available in the secure provider portal?
- We have recently updated several aspects of our online Provider Portal, adding features that will simplify the provider experience. The next time you log into our secure Provider Portal you will find several new capabilities:
- A member eligibility overview page reflects all critical data in a single view
- The ability to submit and track the status of claim reconsiderations online
- Expanded free text fields for reconsideration comments and explanations
- The ability to attach required documentation when filing a reconsideration
- Push notification opt in/out for reconsideration status changes
- Are all of these features available now?
- The features went live in your secure provider portal on May 19, 2020. Follow the on-screen prompts to create your account if you do not have one already.
- Can I use the new reconsideration feature for claim appeals?
- No, the feature is only to be used for reconsiderations. Continue submitting appeals by following the current process outlined in the Ambetter Provider Manual.