Payer coverage
Sunshine Health prior authorization, automated.
Docflow automates Sunshine Health prior authorizations for Florida Medicaid members on the Sunshine Health provider portal.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
What your team deals with on Sunshine Health.
Sunshine Health is a Florida Medicaid plan, including the Children's Medical Services plan. It takes authorization requests on its secure provider portal.
- Some services are managed by a separate benefit manager instead of the plan's own portal.
- Medicaid limits on quantities and frequency have to be checked before submitting.
- Renewals come up often for ongoing supplies.
From order to decision, without your team logging in.
- 01
Build the request
Docflow reads the order and clinicals from your system and fills in everything Sunshine Health asks for.
- 02
Submit it
Docflow signs in to Sunshine Health with your team's login, submits the request and attaches the documents.
- 03
Follow it to a decision
Docflow checks back every 12 hours until there's a decision, and flags any request for more information to your team.
- 04
Write it back
The decision and authorization number land in your system, on the right order, with a record of every step.
Sunshine Health questions.
Does Docflow work on both Sunshine Health and the benefit managers it uses?
Yes. Docflow submits wherever the service has to go, and keeps the result together in your system.
Does Docflow need its own Sunshine Health account?
No. Docflow uses your team's login, stored encrypted, so requests are submitted under your organization like they are today.
How long does it take to get started?
Start with a 30-day pilot on your real work. If you're not satisfied, you get a full refund.
Other portals Docflow submits on.
Hand us your Sunshine Health queue.
Start with a 30-day pilot, fully refundable if you're not satisfied.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
HIPAA compliant
SOC 2® Type 1Always on, always improving