Superior Health Plan Billing Policy

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Clinical, Payment & Pharmacy Policies - Superior …

(5 days ago) WEBPolicies in the Superior HealthPlan Clinical Policy Manual may have either a Superior HealthPlan or a “Centene” heading. Superior HealthPlan utilizes InterQual® criteria for those medical technologies, procedures or pharmaceutical treatments for which a …

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 and Billing Manual - Ambetter from Superior …

(3 days ago) WEBProvider and Billing Manual 2021 Ambetter.SuperiorHealthPlan.com AMBPROV20-TX-C-00024 Automated Clinical Payment Policy Edits ----- 66 Clinical Payment Policy …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2021AmbetterPrvdrManual.pdf

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Provider and Billing Manual - Superior HealthPlan

(5 days ago) WEBAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, Automated Clinical Payment Policy Edits 79 Interim Billing -- …

https://ambetter-es.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/2023-TX-AmbProviderManual.pdf

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Effective October 1, 2020: Clinical Policies - Ambetter from …

(2 days ago) WEBEffective September 1, 2020: Clinical Policies. Date: 07/30/20. Superior HealthPlan has introduced a new clinical policy and revised existing clinical policies to ensure medical …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-october-1--2020--clinical-policies.html

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Effective July 1, 2024: Pharmacy and Biopharmacy Policies

(4 days ago) WEBDate: 05/08/24. Superior HealthPlan has added, updated, or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/eff-07012024-pharmacy-and-biopharmacy-policies.html

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Provider and Billing Manual - Ambetter from Superior …

(9 days ago) WEBWelcome to Ambetter from Superior HealthPlan (Ambetter). Thank you for participating in our network of physicians, hospitals, and other healthcare professionals. Centene …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2019-ProviderManual.pdf

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Effective June 7, 2021: Clinical Policies - Superior HealthPlan

(5 days ago) WEBSuperior HealthPlan has either created new policy, revised or retired existing clinical policies to ensure medical necessity review criteria is current and appropriate for …

https://www.superiorhealthplan.com/newsroom/effective-06072021-clinical-policies.html

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Provider Resources - Ambetter from Superior HealthPlan

(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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English - Superior HealthPlan

(5 days ago) WEBFor more information, call Member Services at 1-866-896-1844. Hours are 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked …

https://mmp.superiorhealthplan.com/

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FREQUENTLY ASKED QUESTIONS (FAQs) Medicare Advantage …

(7 days ago) WEBTo enroll in one of the four State contracted D-SNPs, go to www.medicare.gov, call 1-800-MEDICARE (TTY 1-877-486-2048) or contact one of the four D-SNPs below (Note: The …

https://www.nj.gov/humanservices/dmahs/home/D-SNP_FAQ.pdf

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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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Health Insurance Program - NJ Protect

(2 days ago) WEBNJ Protect is a new health insurance option for uninsured New Jerseyans with pre-existing medical conditions. Coverage through NJ Protect will generally cost less than …

https://www.nj.gov/dobi/division_insurance/njprotect/index.htm

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Secure Portal: Manage Tasks Quickly and Easily

(3 days ago) WEBDate: 05/13/24. Superior HealthPlan's Secure Provider Portal allows your practice to manage member administrative tasks quickly and easily. Through the portal, you can: …

https://www.superiorhealthplan.com/newsroom/secure-portal-manage-tasks-quickly-and-easily-05132024.html

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ATTENTION LTSS PROVIDERS: 2023 Cost Report Due to HHSC by …

(4 days ago) WEBThe compliance period to submit an acceptable cost report ends May 15, 2024. HHSC will request that Superior places a hold on payments to providers if not submitted within this …

https://www.superiorhealthplan.com/newsroom/attention-ltss-providers-2023-cost-report-due-to-hhsc-by-05152024.html

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2024 Spring Newsletter

(1 days ago) WEBNew Member Newsletter Available Now. Date: 04/26/24. We are excited to share the latest edition of Whole You, a newsletter from Superior HealthPlan. In this issue, we’re …

https://www.superiorhealthplan.com/newsroom/2024-spring-newsletter.html

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