Superior Health Plan Payment Guidelines

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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 time employ a vendor that applies payment policies to specific services; in such …

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

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Texas Provider Resources Superior HealthPlan

(9 days ago) WebOur resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Links to specific provider resources …

https://www.superiorhealthplan.com/providers/resources.html

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Provider and Billing Manual - Superior HealthPlan

(7 days ago) WebDo not use commas, periods, or other punctuation in the address (e.g., 123 N Main Street 101 instead of 123 N. Main Street, Number101). Second line – In the designated block, …

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

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Texas Medicaid & Health Insurance Superior HealthPlan

(5 days ago) WebYou are now able to view your health information from a third party app on a mobile device or computer! Check out the Interoperability Page to learn more. Superior HealthPlan exists to improve the health of Texas …

https://www.superiorhealthplan.com/

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Provider and Billing Manual - Ambetter from Superior …

(2 days ago) WebWelcome to Ambetter from Superior HealthPlan (“Ambetter”). Thank you for participating in our network of participating physicians, hospitals and other healthcare professionals.

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

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Provider and Billing Manual - Ambetter from Superior …

(9 days ago) WebHEALTH PLAN INFORMATION. Ambetter from Superior HealthPlan . Ambetter from Superior HealthPlan 5900 E. Ben White Blvd. Austin, TX 78741 Phone: 1-800-964 …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2022-AmbPrvdrManual.pdf

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Provider and Billing Manual - Ambetter from Superior …

(3 days ago) WebAmbetter is a Qualified Health Plan (QHP) as defined in the Affordable Care Act (ACA). Ambetter is offered to consumers through the Health Insurance Marketplace, also known …

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

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Effective January 2023 Clinical Policies - Ambetter from Superior

(9 days ago) WebTo review all policies, please visit Superior’s Clinical, Payment & Pharmacy Policies webpage. Prior to updates, Medical Clinical policies are reviewed and approved …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-january-2023-clinical-policies0.html

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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 of services provided. As a result the following policies are effective on October 6, 2021, at 12:00AM. Changes in these policies reflect preauthorization requirement

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

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Member Handbook - Superior HealthPlan

(2 days ago) Web2021 2021 Member Handbook Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) January 1, 2021 – December 31, 2021 …

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

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Member Handbook - Superior HealthPlan

(4 days ago) WebMember Handbook. Click below on the Member Handbook. It tells you about your Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) coverage. For more …

https://mmp.superiorhealthplan.com/benefits/member-handbook.html

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3 in 30 Billing Guidelines - fostercaretx.com

(Just Now) WebBilling Guidelines. SuperiorHealthPlan.com. SHP_20195039. 3 in 30 combines three separate, yet critical, tools for assessing the medical, behavioral and developmental …

https://www.fostercaretx.com/content/dam/centene/Superior/Provider/PDFs/SHP_20195039_3-in-30-Billing-Guidelines-P-508-03072019.pdf

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English - Superior HealthPlan

(5 days ago) WebLast updated: 10/01/2023. Material ID: H6870_WEBSITE_2024_APPROVED_10/11/2023. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that …

https://mmp.superiorhealthplan.com/

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Eligibility Requirements - Superior HealthPlan

(7 days ago) WebLast updated: 10/01/2023. Material ID: H6870_WEBSITE_2024_APPROVED_10/11/2023. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that …

https://mmp.superiorhealthplan.com/enrollment-information/eligibility-requirements.html

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CC.PP.501 - 30 Day Readmission - Ambetter from Superior …

(9 days ago) Webguidelines. 3. If a readmission is determined to be inappropriate, unnecessary, or preventable, written notification of the determination will be sent to the hospital and/or …

https://ambetter.superiorhealthplan.com/content/dam/centene/policies/payment-policies/CC.PP.501.pdf

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Practice Guidelines Provider Resources Superior HealthPlan

(9 days ago) Web5900 E. Ben White Blvd. Austin, Texas 78741. For more information and resources on Practice Guidelines, please reference the following link: Adopted Clinical Practice …

https://www.superiorhealthplan.com/providers/resources/quality-improvement/practice-guidelines.html

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Superior HealthPlan Telemedicine Quick Reference Chart

(7 days ago) WebHHSC is authorizing providers to bill codes 99201-99205 and 99211-99215 for telephone (audio-only) medical (physician delivered) evaluation and management services …

https://thotonline.org/wp-content/uploads/2022/04/Superior-Telemedicine-Quick-Reference-Chart.pdf

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Resources / Materials - Superior HealthPlan

(9 days ago) WebWebsite Resources and Materials. Member Handbook. Annual Notice of Changes (ANOC) Summary Of Benefits. Forms. Pharmacy. Advance Directives. Member Advisory Group. …

https://mmp.superiorhealthplan.com/resources.html

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Provider and Billing Manual - Ambetter from Superior …

(9 days ago) WebAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, be notified via bulletins and notices posted on the website and …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2024-Ambetter-Provider-Manual.pdf

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Make a Payment - Ambetter from Superior HealthPlan

(8 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/forms/payment.html

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Clinical Practice and Preventive MediWellslines

(1 days ago) WebGuideline Title: Asthma Care Quick Reference Diagnosing and managing asthma (PDF).Guidelines from the National Asthma Education and Prevention Program. Expert Panel Report 3. (Revised 2012.) Recognized Source: U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute …

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

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2022SUMMARY OF BENEFITS 2022 - Superior HealthPlan

(1 days ago) WebSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Superior STAR+PLUS MMP will pay for the cost of an out-of-network provider. ? If you have questions, please call Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) at 1-866-896-1844 (TTY: 711) from 8 a.m. …

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/2022-TX-SB-H6870-001-MMP.pdf

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