Superior Health Plan Provider Forms
Listing Websites about Superior Health Plan Provider Forms
SHP - Provider Statement of Need - Superior HealthPlan
(8 days ago) WebOnce completed, return the form by fax to 1-866-703-0502, or electronically with an Adobe e-Signature to. [email protected]. For any questions, concerns or to discuss this member’s care, please call Superior at 1-877-277-9772 (STAR+PLUS) or 1-855-772-7075 (STAR+PLUS Medicare-Medicaid Plan [MMP]).
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Member Primary Care Provider ( PCP) Change Request Form
(9 days ago) WebYou can also choose a new PCP by calling Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.
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Prior Authorization Requirements for Health Insurance …
(6 days ago) WebContact information for all services that require prior authorization are included below: Prior Authorization Phone Numbers: Physical Health: 1-877-687-1196. Behavioral Health: 1-877-687-1196. Clinician Administered Drugs (CAD): 1-877-687-1196 , ext. 22272. Prescription Drugs: 1-866-399-0928.
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PROVIDER REQUEST FOR RECONSIDERATION AND CLAIM …
(2 days ago) WebUse this form as part of the Ambetter from Superior Healthplan Request for Reconsideration and Claim Dispute process. Request for Reconsideration (Level I) is a communication from the provider about a disagreement with the manner in which a claim was processed. Claim Dispute (Level II) should be used only when a provider has …
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Superior HealthPlan Provider Portal & Resources Superior HealthPla
(9 days ago) WebContact Provider Services: Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Ambetter from Superior HealthPlan 1-877-687-1196
https://www.superiorhealthplan.com/providers.html
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Prior Authorization (Part C) - Superior HealthPlan
(6 days ago) WebMembers should call Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) at 1-866-896-1844 (TTY: 711). Providers may submit a prior authorization by phone, fax or web. If your doctor wants you to get services quickly, we will notify you if the service is approved within 1 (one) business day after we get your request.
https://mmp.superiorhealthplan.com/benefits/prior-auth-part-c.html
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Resources / Materials - Superior HealthPlan
(9 days ago) WebSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) recommends all of our plan members take the time to create a living will, designate a Medical Power of Attorney and provide their advance directive to their primary care physician. ask your doctor to put the form in your file. You can also talk to your doctor about the decision
https://mmp.superiorhealthplan.com/resources.html
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Member Materials and Forms Ambetter from Superior HealthPlan
(Just Now) WebTo request a current non-electronic (paper) listing of all Ambetter in-network providers at no cost, please contact Ambetter Member Services through the Online Member Portal, by email at [email protected] or by calling 1-877-687-1196 ( Relay Texas/TTY 1-800-735-2989) from 8 a.m. to 8 p.m. CT, Monday through Friday. Access our member
https://ambetter.superiorhealthplan.com/resources/handbooks-forms.html
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Effective June 28 2024 Clinical Policies - Ambetter from Superior
(8 days ago) WebAs a result, the following policies are effective on June 28, 2024, at 12:00AM. To review all policies, please visit Superior’s Clinical, Payment & Pharmacy Policies webpage. Prior to updates, Medical Clinical policies are reviewed and approved by the Utilization Management Committee. For questions or additional information, contact Superior
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Superior Vision - Find an Eye Care Professional
(5 days ago) WebVersant Health, Inc. (through its wholly owned subsidiaries Superior Vision, Inc., Davis Vision, Inc., and Superior Vision Benefit Management, inc.) is a licensed third-party administrator for certain vision benefit plans throughout the United States. ExpressExam is offered by SeekWell, Inc., the parent company of 1-800-Contacts.
https://superiorvision.com/locator/
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Forms - Ambetter from Superior HealthPlan
(Just Now) WebAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, Inc. These companies are each Qualified Health Plan issuers in the Texas Health Insurance Marketplace. This is a solicitation for insurance. ©2024 Celtic Ins. Expand
https://ambetter.superiorhealthplan.com/forms.html
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Central Texas Medicaid, CHIP recipients to lose Superior HealthPlan
(5 days ago) WebThe state chose Aetna to begin serving this area instead of Superior, beginning Sept. 1, 2025. This means that 92,864 people, or 57%, of those who have Medicaid or CHIP in Central Texas are losing
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Ascension Provider Accommodations - Ambetter from Superior …
(1 days ago) WebTo ensure member access and continuity of care as Ascension works to address impacted systems and processes, we are extending the following accommodations to Ascension providers beginning May 8, 20245 through June 8, 2024 or Ascension’s remediation date – whichever date is sooner. Barring earlier remediation, Ambetter Health will assess the
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Health Passport Provider Resources Superior HealthPlan
(5 days ago) WebHealth Passport Support. 1-866-714-7996. [email protected]. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. View our provider resources online now.
https://www.superiorhealthplan.com/providers/resources/health-passport.html
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Effective May 2024 Clinical Policies - Ambetter from Superior …
(3 days ago) WebDate: 05/24/24. Superior HealthPlan has updated certain clinical policies to ensure medical necessity review criteria is current and appropriate for members and the scope of services provided. As a result, the following policies are effective on May 22, 2024, at 12:00AM. Changes in these policies reflect preauthorization requirement amendments
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ELECTRONIC FUND TRANSFER ENROLLMENT FORM …
(7 days ago) Web5922 (W0114) Page 1. Please complete. the. Horizon BCBSNJ Ancillary EFT Enrollment Form, include a voided check, and mail to: Horizon Blue Cross Blue Shield of New Jersey 3 Penn Plaza East – PP14K Newark, NJ 07105-2200 Attn: Ancillary Reimbursement – EFT Enrollment. Missing information will delay your organization participation in the
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Provider Credentialing Information and Rights
(3 days ago) WebHow to Release Information. To release this information, a written request must be submitted to Superior’s Credentialing Department at the address or email address listed below: Address: Superior HealthPlan, Attn: Credentialing Department, 5900 E. Ben White Blvd., Austin, TX 78741. Email: [email protected].
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A.TypeofActivity –tobecompletedbyApplicant - Horizon BCBSNJ
(4 days ago) WebLayout 1. NON-GROUP ENROLLMENT/CHANGE REQUEST. Email Fax to: HorizonBlue.com. Horizon P.O. Consumer. BCBSNJ Enrollment Dept. Newark, Box 1330 NJ 07101-1330 [email protected] 973-274-4413. A.Type of Activity – to be completed by Applicant Refer to instructions before completing this form. (Check …
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Effective June 2024 Code Editing Overview - Ambetter from …
(9 days ago) WebEffective June 1, 2024: Revised Payment Policy: Code Editing Overview. Date: 05/24/24. Superior HealthPlan presents a revised payment policy to incorporate existing correct coding information. As a result, the following policy has been revised and is posted on Superior’s Clinical, Payment and Pharmacy Policies webpage for review, prior to its
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IMPORTANT: Updates to the Provider Statement of Need Form
(4 days ago) WebThe following resources can be found on Superior’s Forms webpage: Provider Statement of Need – STAR Kids and STAR Health (PDF) If you have questions about the PSON requirement or form, please contact Superior’s Service Coordination department at: 1-844-433-2074 – STAR Kids. 1-866-912-6283 – STAR Health.
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