Superior Health Plan Texas Provider Portal

All Time Past 24 Hours Past Week Past month Post Your Comments?

Texas

Health Records: View a patient’s health records for number and type of visits, medications, Immunizations and labs, care gaps, etc. Manage Account: Enable, disable, modify permissions for a specific TIN, and invite users to set up an account. 1 2 3 Please reach out to your Provider Relations rep or Contact Provider Services at 1-877-391-5921 for

Official Site: provider.superiorhealthplan.com

FileName: PRO_39161_SPS_TX_final.pdf

FileFormat: "PDF/Adobe Acrobat"

Document: Download Now

Total: 49 Results

Secure Provider Website Registration

To register for the Secure Provider Portal, follow the instructions below: 1. Browse to the public website. Go to “For Providers” 2. Select “Login” 3. On the Login Screen, click the button, “Create an Account” 4. Start your registration: Enter your Tax ID, Name, and E-mail Address, and Create a Password.

Download: Provider_Registration_Doc_All_Plans.pdf

From: provider.superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

Provider and Billing Manual

Ambetter is a Qualified Health Plan (QHP) as defined in the Affordable Care Act (ACA). Ambetter will be HEALTH PLAN INFORMATION Ambetter from Superior HealthPlan . Ambetter 5900 E Ben White Blvd. Austin, TX 78741 1-800-964-2777 • All users of the secure provider portal must complete a registration process. • Once registered

Download: TX-2020AmbetterPrvdrManual.pdf

From: ambetter.superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

Nursing Facility Provider Manual

SUPERIOR’S PROVIDER PORTAL Registering for the Provider Portal by the Texas Health and Human Services Commission (HHSC), to provide health-care services to members enrolled 2. Superior Health Plan ID Card. – If the member also receives Medicare health insurance coverage, Medicare is responsible for most primary,

Download: SHP_20217719-Nursing-Facilities-Provider-Manual-P-508-05182021.pdf

From: superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

Provider and Billing Manual

SECURE PROVIDER PORTAL ----- 10. Functionality Texas 150 . SECTION 1557 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT 95 Welcome to Ambetter from Superior Health Plan (“Ambetter”). Thank you for participating in our network of high quality physicians, hospitals, and other healthcare professionals.

Download: TX-2021AmbetterPrvdrManual.pdf

From: ambetter.superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

Provider Training

paper claims or through the Secure Provider Portal until the provider has established a relationship with a trading partner/clearinghouse listed on our website. – For Superior electronic claim submissions, ensure that your EDI and clearinghouse has the correct payor ID: 68069. – Contact EDI: [email protected] Electronic Claims Filing

Download: SHP_20163619_General Billing Clinic-P-03012017.pdf

From: superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

SUPERIOR HEALTHPLAN STAR STAR+PLUS STAR Health …

Provider Services 844.776.8740 DentaQuest DentaQuest Member Services: 888.308.4766 Fax: 262.241.7150 or Superior Member Services (STAR): 800.783.5386 Superior Member Services (STAR MRSA): DentaQuest 877.644.4494 Superior Member Services (STAR+PLUS): Milwaukee, WI 53201 866.516.4501 Superior Member Services (STAR Health): 866.912.6283

Download: TX_Superior.pdf

From: dentaquest.com

FileFormat: "PDF/Adobe Acrobat" Preview

CENTRAL TEXAS

Ask your local insurance agent about our provider directories or view “Find a Provider” online at advantage.swhp.org. Self-service tools ensure access anywhere, anytime Using the MyBSWHealth app, members can access their healthcare and health insurance information in one secure portal, 24 hours a day, seven days a week.

Download: H8142_21CTXHMOPEK.pdf

From: swhp.org

FileFormat: "PDF/Adobe Acrobat" Preview

Www es.superiorhealthplan.com

5900 E. Ben White Blvd. Austin, TX 78741 1-844-590-4883 SuperiorHealthPlan.com 416973_STAR-Kids_CommonBkgd.indd 4 9/29/20 10:17 PM Cover - Primary Care Providers We are ready to h

Download: 448570_SHPD_SK_Bexar_BESKKE-0621_WEB.pdf

From: www-es.superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

Ambetter Balanced Care 11 (2020) (Silver Level)

Ambetter from Superior HealthPlan is a Qualified Health Plan issuer in the Texas Health Insurance Marketplace. Ambetter from Superior HealthPlan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Download: 29418TX0140019-01.pdf

From: api.centene.com

FileFormat: "PDF/Adobe Acrobat" Preview

Texas Medicaid & Healthcare Partnership (TMHP) Portal

Portal Security Provider Training Manual 1.0 Texas Medicaid & Healthcare Partnership (TMHP) Portal Security Responsibilities Providers enrolled in Medicaid and associated programs, Medicaid Managed Care, Healthy Texas Women (HTW) program, and the Children with Special Health Care Needs (CSHCN) Services Program can create a TMHP User

Download: NavigateToManual?menuIcon=fa-question-circle

From: secure.tmhp.com

FileFormat: "PDF/Adobe Acrobat" Preview

Texas Health Steps Quick Reference Guide

Texas Health Steps Online Provider Education Website Free comprehensive online continuing education modules designed for health-care providers. All modules provide continuing education units Web Portal web application for Clinical Chemistry. To gain access, …

Download: THSteps_QRG.pdf

From: tmhp.com

FileFormat: "PDF/Adobe Acrobat" Preview

PROVIDER MANUAL

Texas Health Steps Provider Enrollment 39 or our Provider Portal at https://starplus.hsconnectonline.com. PLEASE NOTE: Users should not enter "www" prior to Superior Vision 1-888-886-1995 7 . Introduction . Welcome to Cigna-HealthSpring’s STAR+PLUS program. In 2011, Cigna-HealthSpring was

Download: provider-manual.pdf

From: cigna.com

FileFormat: "PDF/Adobe Acrobat" Preview

LTSS Billing Clinic

health insurance. • First health plan with child welfare experience nationally. – Superior has been the only provider of health insurance for youth in Texas foster care (STAR Health) since 2008. STAR Health has helped set a framework for foster care programs at other health plans in the U.S. • Leader in Pay for Performance programs.

Download: SHP_2015891_STAR-PLUS-LTSS-Billing-Clinic-P-508-03042020.pdf

From: superiorhealthplan.com

FileFormat: "PDF/Adobe Acrobat" Preview

Ambetter Secure Care 5 (2020) (Gold Level)

Ambetter from Superior HealthPlan is a Qualified Health Plan issuer in the Texas Health Insurance Marketplace. Ambetter from Superior HealthPlan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Download: 29418TX0140064-01.pdf

From: api.centene.com

FileFormat: "PDF/Adobe Acrobat" Preview

2021 Quick Reference Guide CHRISTUS Health Plan

CHRISTUS Health Plan offers affordable, high-quality • Locate a provider • Provider Portal • Verify member eligibility • Check claim status Superior Vision Member Services Phone: 1-800-879-6901 Provider Services Phone: 1-866-819-4298 Website: www.superiorvision.com

Download: 2021-tx-ma-quick-reference-guide-final-11242020-h1189pc690.ashx

From: christushealthplan.org

FileFormat: "PDF/Adobe Acrobat" Preview

HHSC Electronic Visit Verification

Driscoll Children’s Health Plan [email protected] 1-877-324-7543 Molina Healthcare of Texas [email protected] 1-866-449-6849 Superior Health Plan [email protected] 1-877-391-5921 Texas Children’s Health Plan [email protected] 1-800-731-8527 United Health Group [email protected] 1-888-887 …

Download: evv-module-13-training-requirements.pdf

From: hhs.texas.gov

FileFormat: "PDF/Adobe Acrobat" Preview

2020 Commercial

Scott & White Health Plan Scott and White Health Plan footprint Baylor Scott & White Health System footprint was established in 1982 to support the residents and physicians of Central Texas. Today we serve 230,000 members in 80 counties across Texas through 130 Hospitals and over 23,000 Providers. Serving Commercial, Medicare and Medicaid

Download: SWHP-Commercial-Provider-Manual.pdf

From: swhp.org

FileFormat: "PDF/Adobe Acrobat" Preview

Home and Community Based Services Adult Mental Health

Provider Agencies and Recovery Management Entities shall utilize CMBHS as directed by HHSC. Community Mental Health Center (CMHC) An entity established in accordance with the Texas Health and Safety Code, §534.001, as a community mental health center or a community mental health and mental retardation center.

Download: hcbs-amh-billing-guidelines.pdf

From: hhs.texas.gov

FileFormat: "PDF/Adobe Acrobat" Preview

Ambetter Essential Care 1 (2020) (Bronze Level)

Ambetter from Superior HealthPlan is a Qualified Health Plan issuer in the Texas Health Insurance Marketplace. Ambetter from Superior HealthPlan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Download: 29418TX0140006-01.pdf

From: api.centene.com

FileFormat: "PDF/Adobe Acrobat" Preview

Medicare Advantage HHSC Contract Number CMS Code Plan …

Physicians Health Choice of Texas HHS000521700001 H4527 006 UnitedHealthcare Dual Complete Focus SNP El Paso Physicians Health Choice of Texas HHS000521700001 H4527 015 UnitedHealthcare Dual Complete Focus SNP Cameron, Hidalgo, Willacy Superior HealthPlan, Inc. HHS000521900001 H5294 002 Allwell Dual Medicare (HMO SNP) SNP

Download: MAP update.pdf

From: tmhp.com

FileFormat: "PDF/Adobe Acrobat" Preview

STAR Health Provider Training SHP 20151119

• Only health plan with statewide Health Maintenance Organization (HMO) • Enroll as a Texas Health Steps provider or refer members to a participating Texas Health Steps provider. • Can be submitted electronically through Superior’s Provider Portal or be submitted in writing.

Download: SHP_20217864-STAR-Health-Provider-Training-P-05212021.pdf

From: fostercaretx.com

FileFormat: "PDF/Adobe Acrobat" Preview

Prior Authorization Forms

Provider update https://providers.amerigroup.com Amerigroup members in the Medicaid Rural Service Area and the STAR Kids program are served by Amerigroup Insurance Company; all other Amerigroup members in Texas are served by Amerigroup Texas, Inc. TXPEC-3973-20 December 2020 Prior Authorization Forms Precertification Request –

Download: TX_CAID_PriorAuthForms_tx_prdocs.pdf?v=202102151653

From: provider.amerigroup.com

FileFormat: "PDF/Adobe Acrobat" Preview

PROVIDER REFERENCE GUIDE

Please contact Scott & White Health Plan Health Services Department toll free at 866-384-3488 for pre-authorization requests (including Behavioral Health and Second Opinions). If you require inpatient admission following an emergency, please notify SWHP within 48 hours of emergency services. Plan Information/provider list: swhp.org.

Download: SWHP-Provider-Reference-Guide.pdf

From: swhp.org

FileFormat: "PDF/Adobe Acrobat" Preview

2020 CHRISTUS Health Plan

Vision (Superior Block) Member Services: 800.879.6901. Provider Services: 866.819.4298. CHRISTUS Health Plan, headquartered in Irving, Texas, is a health and well-being company Health Plan Provider Manual, as amended from time to time. Further, the policies and

Download: 2020-tx-hix-provider-manual-12032019-pc526_2.ashx?la=en

From: christushealthplan.org

FileFormat: "PDF/Adobe Acrobat" Preview

Hidalgo Service Area STAR HMO STAR+PLUS HMO

Driscoll Children’s Health Plan (STAR) Provider services: 855-425-3247; Prior Authorization and referrals: 877-455-1053 West Texas Rural Service Area STAR HMO STAR+PLUS HMO Provider portal at www.firstcare.com Superior Provider services: 877-644-4494

Download: NewMedicaidHMOs.aspx

From: texmed.org

FileFormat: "PDF/Adobe Acrobat" Preview

Provider Quick Reference Contact Guide

Texas Children’s Health Plan’s TheCheckup makes it easier for providers to stay current on news, announcements, blogs and more. To access, go to www.TheCheckup.org. Texas Children’s Health Plan Provider Portal Texas Children’s Health Plan’s online portal offers convenient 24-hour access to: • Check Claim Status • Verify Member

Download: Provider Quick Ref Guide_1.pdf

From: texaschildrenshealthplan.org

FileFormat: "PDF/Adobe Acrobat" Preview

STAR and CHIP Provider Manual

2.4 – FirstCare Provider Portal .. 13 SECTION 3: Customer Service 3.1 – Eligibility and Benefits 10.1 – Texas Health Steps Services.. 119. 4 2019 STAR and CHIP Provider Manual FirstCare Health Plans Provider Relations 1-800-264-4111 SECTION 11: Claims Submission and Administration

Download: STAR-CHIP-Provider-Manual.pdf

From: firstcare.com

FileFormat: "PDF/Adobe Acrobat" Preview

Release Communication

Access Humana interactive provider webinars 1. In the Availity Portal menu bar, click Payer Spaces, and then click the Humana payer tile. 2. On the Resources tab of the payer space page, click Interactive Provider Webinars. • Superior Health Plan (Texas) • Trillium Community Health Plan (Oregon) • Western Sky Community Care (New Mexico)

Download: availity_release-communication_2020.08.15.pdf

From: availity.com

FileFormat: "PDF/Adobe Acrobat" Preview

Health Insurance Marketplace Provider Quick Reference Guide

• Locate a providerProvider Portal • Verify member eligibility • Check claim status CHRISTUS Health Plan Texas Exchange P.O. Box 981654 El Paso, TX 79998 Superior Vision Member Services Phone: 1-800-879-6901 Provider Services Phone: 1-866-819-4298

Download: 2021-tx-hix-quick-reference-guide-final-11242020-pc693.ashx

From: christushealthplan.org

FileFormat: "PDF/Adobe Acrobat" Preview

El Paso Health

El Paso Health is a Texas Health Maintenance Organization (HMO) established by the El Paso County Hospital District to enter into contract with HHSC for the purpose of improving access to medical care for STAR, CHIP and CHIP Perinatal recipients.

Download: providermanual.pdf

From: elpasohealth.com

FileFormat: "PDF/Adobe Acrobat" Preview

MEDICARE MEDICAID PLAN (MMP)

• The Texas Health and Human Services Commission (HHSC) proposed a new way to serve people who are eligible for both Medicare and Medicaid, known as dual eligible. The goal of the project is to better coordinate the care those individuals receive. • The Texas plan involves a three-party agreement between a Medicare-Medicaid health

Download: hcp-in-service-presentation-txmmp.pdf

From: careplantx.cigna.com

FileFormat: "PDF/Adobe Acrobat" Preview

Magellan Healthcare, Inc.* 2021

• Complete your initial Provider Profile and Practice Data Change Form (PDCF) online using the Magellan website provider portal, which includes a Form W-9 for the contracting entity and financial address as well as your service demographics, practice information, etc. Keep this information up to date by reviewing it quarterly and updatingyour

Download: provider_handbook.pdf

From: magellanprovider.com

FileFormat: "PDF/Adobe Acrobat" Preview

Medicaid Managed Care Program (STAR) and Children’s …

Blue Cross and Blue Shield of Texas was selected as one of the plans to administer the STAR and CHIP programs for the Texas Health and Human Services Commission (HHSC) in the Travis Service Area Other health plans serving in the area include: Sendero Health Plans Seton Superior (Centene) HealthPlan Network Amerigroup-STAR Plus ONLY

Download: providerorientation.pdf

From: bcbstx.com

FileFormat: "PDF/Adobe Acrobat" Preview

Credentialing

1. Practitioner must practice, or plan to practice within 90 calendar days, within the area served by Molina. 2. All providers, including ancillary providers, (i.e. vision, pharmacy, etc.), will apply for enrollment in the Medicaid program. Providers are required to have an NPI or an Administrative Provider Identification Number (APIN).

Download: Section-6-Credentialing.pdf

From: molinahealthcare.com

FileFormat: "PDF/Adobe Acrobat" Preview

HEALTH CARE FOR TEXAS CHILDREN IN FOSTER CARE: STAR …

a physician or other health care provider authorized by state law to conduct a medical examination by the end of the third business day after the child is removed from the child’s home. Tex. Fam. Code § 264.1076. x Vaccinations Prohibited During Exam: A physician or health care provider cannot

Download: Bench Book 2017 Health Care for Texas Children in Foster Care STAR Health.pdf

From: benchbook.texaschildrenscommission.gov

FileFormat: "PDF/Adobe Acrobat" Preview

PRIOR AUTHORIZATION GUIDE

Dental Procedures (may not be a covered benefit on all programs) • Facility, anesthesia, and related medical services for dental care • Orthognathic and other oral surgery procedures Durable Medical Equipment (DME) and Prostheses • CPAP machines, purchased or rented • Canned nutritionals • Cranial molding helmets/bands • Custom wheelchairs

Download: Prior-Authorization-Guide-2021.pdf

From: provider.communityhealthchoice.org

FileFormat: "PDF/Adobe Acrobat" Preview

Aetna Better Health of Texas

• Find a qualified Texas Health Steps provider enrolled in • Set up appointments to see a doctor ordentist • Coordinate with our plan’s non-emergency ambulance transport services . • Answer questions about eligible services. For more information about THSteps, please refer to the Texas Health Steps website at . www.dshs.state.tx.us

Download: tx_provider_manual.pdf

From: aetnabetterhealth.com

FileFormat: "PDF/Adobe Acrobat" Preview

1 844 756 4608

All services are subject to any and all plan provisions, limitations and patient eligibility at the time services are rendered. Amerigroup members in the Medicaid Rural Service Area and the STAR Kids program are served by Amerigroup Insurance Company; all other Amerigroup members in Texas are served by Amerigroup Texas, Inc.

Download: TXTX_CAID_PA_TherapyRequestForm_tx_prdocs.pdf

From: provider.amerigroup.com

FileFormat: "PDF/Adobe Acrobat" Preview

2021 Administrative Guide/ Care Provider Manual

The Texas Administrative Code at sos.state.tx.us/tac/ The Texas Medicaid & Healthcare Partnership at tmhp.com The Texas Department of State Health Services at dshs.texas. gov/thsteps > Provider Information (MEDICAL) See also your UnitedHealthcare Community Plan Network Participation Agreement (Texas Medicaid and Chip Program

Download: TX-CHIP-STAR-STAR-PLUS-Care-Provider-Manual.pdf

From: uhcprovider.com

FileFormat: "PDF/Adobe Acrobat" Preview

Chapter 6 Claims and Billing

Within 95 days of the date the new provider identifier is issued, and within 365 days of the date of service 365 days with prior authorization if services aren ot availabe il n Texas Non-Texas Medicaid Denied unless prior authorized for services Enrolled not available in Texas Denied unless prior authorized for services not available in Texas

Download: chapter6_claims_and_billing.pdf

From: bcbstx.com

FileFormat: "PDF/Adobe Acrobat" Preview

CIGNA HEALTHSPRING STAR+PLUS

questions about your health, you can call the nurses at our 24‑Hour Nurse Line at 1-855-418-4552. On behalf of the entire Cigna‑HealthSpring family in Texas and beyond, I welcome you. We look forward to

Download: starplus-member-services.pdf

From: cigna.com

FileFormat: "PDF/Adobe Acrobat" Preview

Provider and Billing Manual

Texas----- 171. September 30, 2019 6 WELCOME Welcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of Ambetter is a Qualified Health Plan (QHP) as defined in the Affordable Care Act (ACA). Ambetter will be All users of the secure provider portal must complete a registration process. Once

Download: FL-2020AmbetterPrvdrManual.pdf

From: ambetter.sunshinehealth.com

FileFormat: "PDF/Adobe Acrobat" Preview

Allwell

Services must be a covered Health Plan Benefit and medically necessary with prior authorization as per Plan policy and procedures. Confidentiality: The information contained in this transmission is confidential and may be protected under the Health Insurance Portability …

Download: WI-PAF-0763_01112018.pdf

From: mhswi.com

FileFormat: "PDF/Adobe Acrobat" Preview

Contract Request Form (CRF)

Thank you for your interest in becoming a Molina Healthcare Provider. To ensure the proper contract and credentialing packet is generated, please complete this contract request form and return along with a current W-9 to fax . number: 877-900-5655 . Attn: Contracting Team or email form to: [email protected]molinahealthcare.com ___

Download: Contract-Request-Form.pdf

From: molinahealthcare.com

FileFormat: "PDF/Adobe Acrobat" Preview

Eligibility Payor ID List

10758 Centene - Sunflower State Health Plan Y N 10592 Centene - Superior HealthPlan Texas Y N 10771 Centene Advantage Plans Y N 10884 Central California Alliance for Health Y N 10904 Central Senior Care Y N 10486 Central States Fund Y Y 10744 Central States Indemnity Y …

Download: GSeEligibilityList.pdf

From: geniussolutions.com

FileFormat: "PDF/Adobe Acrobat" Preview

HealthSmart Provider Manual

To be the healthcare industry’s leading provider of innovative solutions. Our Mission. To lower the cost of healthcare and improve the health of our members . Core Values Quality. We are committed to providing superior healthcare products and services to all our customers, clients and , brokers and consultants. Productivity.

Download: HS-Provider Manual-2015-v8-01-18-2016.pdf

From: healthsmart.com

FileFormat: "PDF/Adobe Acrobat" Preview

Member Registration

Manage Your Health Our easy to use secure Site s you accessto your health informationanytime. Need To Create An Accoun . Registration is fast and simple, give it a try Create An Account Member Login User Name ( Email ) [email protected] Password Login Forgot Password / Unlock Account Features View Benefits Use Secure Messagi And Much Morel

Download: Secure_Member_Instructions.pdf

From: member.membersecurelogin.com

FileFormat: "PDF/Adobe Acrobat" Preview

STAR Kids Member Handbook

Texas Children’s Health Plan STAR Kids health coverage is designed to give you use of a network of doctors, hospitals, and other health services providers who are committed to giving good medical care. Our Health Plan was founded on the belief that you and your primary care provider are the 2 best qualified to care for your health.

Download: 2018 STAR Kids Member Handbook_MARCH.pdf

From: texaschildrenshealthplan.org

FileFormat: "PDF/Adobe Acrobat" Preview

Related Search

Please leave your comments here:

FAQ Superior Health Plan Texas Provider Portal

How to contact superior health plan in texas?

For more information please review the Secure Provider Portal Booklet (PDF). For support while using the web portal, please call 1-866-895-8443 or email [email protected] *In addition to updating information with Superior, providers must also update their demographics with Texas Medicaid & Healthcare Partnership (TMHP).

Is there an online account for superior healthplan?

Superior HealthPlan offers free online accounts for providers. Create yours and access the secure tools you need today. Superior HealthPlan Provider Portal & Resources

Is there a nurse hotline for superior healthplan?

Superior HealthPlan operates a toll-free nurse hotline that providers and members can call 24-hours-a-day, 7 days a week. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services.

Where to find superior healthplan complaints and appeals?

For Providers show For Providers submenu Coronavirus Updates Secure Portal Login Network Request or Update Prior Authorization Training and Manuals Provider Resources Provider News & Information Find My Account Manager Provider Events Get Insured MENUSEARCH searchGo! language English Spanish Tiếng Việt 中文

Update new documents

Denton County Health Denton Tx

Thanksgiving Recipes Healthy Rice Stuffing

Louisiana School Based Health Clinics

Methodist Health System Portal

Nuvance Health Lagrangeville

My Cardinal Health Hr Employees

Healthy Goods Promo Code

North Carolina Health Care Association

Get It Beauty Supply

Womens Health Specialists Park Ridge Il

Is Nationwide Insurance Good

Popular Search