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Payer Contacts, IDs & Links

Florida Provider Portal Directory

Find Florida Medicaid and commercial payer portals, provider contacts, claims resources, and electronic submission details—all in one place. Quickly access the payer information your team uses most.

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Important: Payer contacts, portal links, & EDI details can change. Always verify submission requirements with the payer & your clearinghouse before sending claims.

Florida Payer Resources

Florida Billing and Portal Access

Florida billing workflows often involve moving between Florida Medicaid Secure Web Portal tools, Statewide Medicaid Managed Care plan resources, dental plan portals, long-term care workflows, and commercial payer websites. Tasks like eligibility verification, claim status checks, remittance review, prior authorization research, and electronic claim setup are often handled across different systems depending on the payer.

Most Florida practices work across a mix of Florida Medicaid fee-for-service, SMMC managed care organizations, long-term care plans, dental plans, and commercial insurers. Consistent access to those payer resources is part of maintaining steady billing operations and avoiding unnecessary delays during follow-up.

Claims Resources

Quick access to official claims and payment pages for common Florida payers.

Provider Portals

Find the right login path for eligibility, claim status, remits, and account tools.

Key Contacts

Reference important provider phone numbers without digging through multiple sites.

EDI Notes

See available payer ID guidance and where your team should confirm setup details.

Florida Directory

Florida Payer Contacts, Portals, and Billing Notes

Use this table to access commonly used Florida payer portals, provider contacts, and claims resources. For claim-specific questions or submission requirements, confirm details directly with the payer.

Payer Plan Type Portal / Claims Resource Main Provider Contact EDI / Payer ID Note
Florida Medicaid (AHCA) Medicaid administrative and provider portal system Florida Medicaid Secure Web Portal Provider Services: 877-254-1055 Use Florida Medicaid provider services for enrollment, EDI companion guides, claims submission options, MEVS vendor information, and secure portal access
Florida Statewide Medicaid Managed Care (SMMC) MMA, LTC, Dental, and ICMC program structure SMMC information for providers Current SMMC program resources Confirm member plan, region, claim routing, and contract-specific billing rules before submission
Sunshine Health Florida Medicaid SMMC and other plan types vary by product Sunshine Health provider resources Provider Services: 866-796-0530 Sunshine Health offers secure provider tools; confirm payer setup and authorization requirements by plan type
Simply Healthcare Plans Florida Medicaid SMMC and Florida Healthy Kids-related resources Simply Healthcare provider resources Provider Services: 844-405-4296 Simply uses provider self-service tools and supports Florida Healthy Kids workflows in all 11 regions
Humana Healthy Horizons in Florida Florida Medicaid Managed Medical Assistance Humana Healthy Horizons Florida provider site Provider Services: 800-477-6931 Humana publishes provider materials for its Florida Medicaid MMA program; confirm payer space and claims workflow before submission
Aetna Better Health of Florida Florida Medicaid SMMC Aetna Better Health Florida provider resources Provider Services: 800-441-5501 Verify electronic transaction setup, authorizations, and payer routing by product and claim type
UnitedHealthcare Community Plan of Florida Florida Medicaid, commercial, and Medicare Advantage resources vary by plan Florida health plan resources Claims and payments page Verify payer ID by claim type, product, and clearinghouse configuration
Florida Blue Commercial and other plan types vary by product Florida Blue provider resources Provider Services: 800-727-2227 Florida Blue uses Availity-supported workflows; verify payer ID by product and clearinghouse
Aetna Commercial and Medicare Advantage varies by plan Aetna on Availity Use Availity for claims, eligibility, authorizations, and referrals Verify payer ID by product and clearinghouse
Cigna Healthcare Commercial Submit claims and portal tools Cigna for Health Care Professionals portal Medical payer ID listed as 62308

Workflow Guidance

How To Use This Directory Effectively

This directory works best as an operational reference that staff can return to during daily billing work. It can help standardize where payer information is accessed and reduce time spent searching across separate websites.

Best practices

  1. Bookmark this page for billers, practice managers, and front-office staff.
  2. Verify payer IDs before first submission or when changing clearinghouses.
  3. Refresh this page regularly to keep phone numbers, portal links, and claims notes current.

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Florida Medicaid

Florida Medicaid and SMMC

The Florida Medicaid Secure Web Portal is one of the most important links for in-state billing teams. It supports provider account access and connects teams to provider enrollment, EDI companion guides, MEVS vendor information, registration forms, claims submission options, and program materials.

For many Florida practices, this is the first stop for Medicaid administrative activity, while SMMC providers should also reference the member’s assigned health plan for plan-specific billing, authorization, and claims rules.

  • Portal: Florida Medicaid Secure Web Portal
  • Main provider phone: 877-254-1055
  • EDI note: Confirm provider enrollment, EDI registration, MEVS access, and clearinghouse routing before first submission
  • Best use: Eligibility, claims, provider enrollment, secure portal access, Medicaid reference information

Open Florida Medicaid Portal View Provider Services

Medical billing team reviewing Florida Medicaid payer information
Billing specialist accessing payer portals

Florida Medicaid Managed Care

Sunshine, Simply, Humana, Aetna Better Health, and UnitedHealthcare

Florida practices often work across multiple Medicaid managed care organizations, which means staff need fast access to different claim tools, provider contacts, prior authorization pathways, dental plan resources, and long-term care workflows. Keeping those links organized can reduce follow-up delays and cut down on submission errors.

These plans are often central to day-to-day billing activity across Statewide Medicaid Managed Care, including Managed Medical Assistance, Long-Term Care, Dental, and ICMC workflows.

Recommended priorities on the Florida page:
  • Florida Medicaid Secure Web Portal
  • Sunshine Health
  • Simply Healthcare Plans
  • Humana Healthy Horizons in Florida
  • Aetna Better Health of Florida
  • UnitedHealthcare Community Plan of Florida

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Payer-by-Payer Resource Hub

Florida Payer Notes

Sunshine Health

Sunshine Health offers secure provider accounts and Florida Medicaid managed care resources. Its provider resources page is a strong reference point for claims, authorizations, forms, and plan guidance.

Open Provider Resources

Simply Healthcare

Simply Healthcare maintains Florida provider resources for Medicaid, Florida Healthy Kids, and related plan workflows. This is a useful page to bookmark for portal access, claims tools, and billing workflows.

View Provider Resources

Humana Healthy Horizons

Humana Healthy Horizons in Florida publishes provider materials for its Managed Medical Assistance program. Use its provider site to confirm current Medicaid materials, claims expectations, and plan-specific guidance.

Open Humana Medicaid Resources

Commercial Payer Access

Florida Blue, UnitedHealthcare, Aetna and Cigna Provider Tools

Florida billing teams also need easy access to commercial payer workflows. Florida Blue offers Florida-focused provider resources, UnitedHealthcare centralizes portal and claims tools through UHCprovider.com, Aetna uses Availity for provider self-service, and Cigna offers claims resources through its provider portal and claim submission pages.

Including commercial payer links alongside Florida Medicaid and SMMC resources creates a more complete reference point for practices working across multiple plan types.

Helpful use cases

  1. Eligibility verification for scheduled visits and follow-up care
  2. Claim status review when payments are delayed or unclear
  3. Authorization research before high-cost or specialty services

Open Florida Blue Provider Resources

Frequently Asked Questions

Is this page meant to replace payer websites?

No. This page is designed as a fast-access resource hub. Staff should still verify submission requirements, portal instructions, and payer IDs on the official payer site before acting.

Why not list every payer ID on the page?

Some payer IDs vary by claim type, product line, clearinghouse, or transaction. Listing only verified information and prompting users to confirm setup helps reduce avoidable submission errors.

Who should use this Florida payer directory?

This page is useful for independent practices, physician groups, hospitals, billing companies, credentialing teams, and revenue cycle staff handling Florida claims.

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