Superior Health Plan Policy Manual

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Clinical, Payment & Pharmacy Policies - Superior HealthPlan

(5 days ago) WebPolicies in the Superior HealthPlan Payment Policy Manual may have either a Superior HealthPlan or a “Centene” heading. In addition, Superior HealthPlan may from time to …

https://www.superiorhealthplan.com/providers/resources/clinical-payment-policies.html

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Provider and Billing Manual - Superior HealthPlan

(7 days ago) WebWelcome to Allwell from Superior HealthPlan. Thank you for being a part of our network of participating physicians, hospitals and other healthcare professionals. This Provider …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/SHP_20174283-Allwell-Provider-Manual-10052017.pdf

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Provider Resources, Manuals, and Forms - Ambetter from Superior …

(1 days ago) WebAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, …

https://ambetter.superiorhealthplan.com/provider-resources/manuals-and-forms.html

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Effective May 31 2021 Clinical Policies - Ambetter from Superior …

(8 days ago) WebEffective May 31, 2021: Clinical Policies. Date: 03/31/21. Superior HealthPlan has either created new policy, revised or retired existing clinical policies to ensure medical …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-may-31-2021-clinical-policies-.html

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Effective June 1, 2024: Pharmacy and Biopharmacy Policies

(4 days ago) WebDate: 05/21/24. Superior HealthPlan has added, updated or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and …

https://www.superiorhealthplan.com/newsroom/eff-06012024-pharmacy-and-biopharmacy-policies-05212024.html

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Payment Policy: Unlisted Procedure Codes - Ambetter from …

(9 days ago) WebA clear description of the nature, extent, and need for the procedure or service. A detailed report that clarifies whether the procedure was performed independently from other …

https://ambetter.superiorhealthplan.com/content/dam/centene/policies/payment-policies/CC.PP.009.pdf

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Clinical Policy: Short Inpatient Hospital Stay - Ambetter from …

(9 days ago) Web2. Centers for Medicare & Medicaid Services (CMS). Medicare Benefit Policy Manual. Chapter 1 - Inpatient Hospital Services Covered Under Part A. (Rev. 234, 03-10-17).

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/policies/clinical-policies/CP.MP.182.pdf

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Effective October 6 2021 Clinical Policies - Ambetter from Superior

(Just Now) WebDate: 09/29/21. Superior HealthPlan has updated certain clinical policies to ensure medical necessity review criteria is current and appropriate for members and the scope …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-october-6-2021-clinical-policies.html

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SUMMARY OF BENEFITS2023 - Superior HealthPlan

(1 days ago) WebIf you have questions, please call Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) at 1-866-896-1844 (TTY: 711) from 8 a.m. to 8 p.m., Monday through …

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/2023-TX-SB-H6870-001-MMP.pdf

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Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan …

(3 days ago) WebIf you are having trouble finding a provider who will accept new members, call Member Services at 1-866-896-1844 (TTY: 711) and we will help you. To get the most up-to-date …

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/2021-TX-PPDINFORMATION-H6870-001-MMP.pdf

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Annual Notice of Changes for 2024

(1 days ago) WebInformation about Superior STAR+PLUS MMP. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and …

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/H6870_001_2024_TX_ANOC_MMP_126837E.pdf

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North Bergen, New Jersey ACA Health Insurance Plans

(1 days ago) WebNew Jersey enrollment dates and deadlines. New Jersey residents can apply for Affordable Care Act (ACA) health insurance plans during the annual Open Enrollment Period or …

https://www.healthmarkets.com/plans/aca-health/new-jersey/north-bergen/

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Horizon Blue Cross Blue Shield of New Jersey 2017 Managed …

(4 days ago) WebIf you have questions about enrollment, benefits or claims, visit NaviNet.net or call 1-800-624-1110 to use our Interactive Voice Response system, available 24 hours a day, …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Managed_Care_Benefits_at_a_Glance_Reference_Guide.pdf

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PLAN-NJ Newsletter4.pdf

(Just Now) Webficiaries. Another, more troubling, policy decision was made by the Division not to set maximum caseload ratios. Theoretically, the support coordinators within the agencies are …

https://www.plannj.org/wp-content/uploads/2016/04/PlanNJSpring2015newsletter.pdf

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Billing and Coding Provider Resources Superior HealthPlan

(3 days ago) WebSuperior HealthPlan strives to give our participating providers the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up …

https://www.superiorhealthplan.com/providers/resources/electronic-transactions.html

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Effective May 1 2022 Clinical Policies - Ambetter from Superior …

(6 days ago) WebSuperior HealthPlan has added a clinical policy to ensure medical necessity review criteria is current and appropriate for members and the scope of …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-may-1-2022-clinical-policies.html

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Effective August 1, 2024: Pharmacy and Biopharmacy Policies

(4 days ago) WebDate: 05/21/24. Superior HealthPlan has added, updated, or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is …

https://www.superiorhealthplan.com/newsroom/eff-08012024-pharmacy-and-biopharmacy-policies-05212024.html

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Health Policy: Nurse Advocacy in Action - apn-nj

(1 days ago) WebHealth Policy: Nurse Advocacy in Action 8:30 a.m. – 4:00 p.m. Thursday, June 18, 2015 Thomas Edison State College, 101 W. State Street, Trenton, NJ Co-Provided by NJSNA …

https://apn-nj.org/Resources/Documents/Health_Policy_Nurse_Advocacy___Fillable_Form4.21.pdf

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