Superior Health Plan Timely Filing

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(4 days ago) LoadingMicrosoft Bing ProsConnect instantly with our network of recommended Pros!Find Pros Superior HealthPlanhttps://www.superiorhealthplan.com/providers/Billing and Coding Provider Resources Superior HealthPlanWEBSuperior HealthPlan strives to give our participating providers the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims. Providers may elect to submit electronic …

https://www.bing.com/aclk?ld=e8SD6J5fyDCgxRBPHER_ad6jVUCUzUt9Ck8-5dQ32oU7etYsnNKE9_tD2fMtHT5x9ibV4hxWxwUVU28FKLY7LuLPkFfU3BD5uG4KXV9qBdFLoGtLLJQ623jomQL6wCC2887isoKb6PJjyDpTJ-bZer-f06u5Zy5BYdEYH5XrSbpKSCAJ2ez_OeZJc--NyTV8r-udWPNQ&u=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&rlid=43b0b70d3bf71f09d86ed15f8f84e56a

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Provider and Billing Manual - Ambetter from Superior …

(2 days ago) WEBTimely Filing ----- 32 Who Can File Claims? Celtic is contracted with Superior HealthPlan, Inc., in order to offer the Superior HealthPlan, Inc. network of contracted …

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: 1-800-964-2777 …

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

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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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REQUIREMENTS: Claim Submission Tips - Superior HealthPlan

(3 days ago) WEBAll claims submitted to Superior must include the required, valid clean claim data elements. The billing provider address is a required data element needed in a claim. Providers can …

https://www.superiorhealthplan.com/newsroom/requirements-claim-submission-tips.html

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Simplify Office Administrative Tasks

(Just Now) WEBTimely filing guidelines: 95 days from date of service. Submit claims: • Secure Provider Portal • Clearinghouses: EDI Payor ID 68069 • Mail paper claims to: Allwell from …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/SHP_20174171E-Allwell-Quick-Reference-Guide-P_PR.pdf

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Provider and Billing Manual - Ambetter from Superior …

(2 days ago) WEBTimely Filing 55 Refunds and Overpayments 55 Who Can File Claims? -----56 Electronic Claims Submission ----- 56 Welcome to Ambetter from Superior HealthPlan …

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

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Provider and Billing Manual - Ambetter from Superior …

(3 days ago) WEBTimely Filing ----- 37 Welcome to Ambetter from Superior HealthPlan (“Ambetter”). Thank you for participating in our network of participating physicians, hospitals, and …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2020AmbetterPrvdrManual.pdf

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Appeals and Grievances - Superior HealthPlan

(8 days ago) WEBYour health plan’s phone number is on your health plan ID card. Or, if you don’t have a health plan, call the Medicaid helpline at 1-800-335-8957(TTY: 711).

https://mmp.superiorhealthplan.com/appeals-grievances.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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Ambetter Quick Reference Guide - Ambetter from Superior …

(Just Now) WEBAmbetter from Superior HealthPlan PO Box 5010 Farmington, MO 63640-5010 . Claim Disputes: (Form located on website) Ambetter from Superior HealthPlan Timely …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/508_QRG-TX-Final-revised-10-20-14.pdf

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Complaints and Appeals Texas Medicaid Superior HealthPlan

(5 days ago) WEBYou can send an internal health plan appeal in writing to: Superior HealthPlan ATTN: Medical Management 5900 E. Ben White Blvd. Austin, Texas 78741 FAX: 1-866-918 …

https://www.superiorhealthplan.com/members/medicaid/resources/complaints-appeals.html

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Ambetter from Superior HealthPlan

(4 days ago) WEBThe timely filing deadline for initial claims is 95 days from the date of service or date of primary payment when Ambetter is secondary. Claims may be submitted in 3 ways: 1. …

https://ambetter-es.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/AMB-TX-HP-SHP_2014636-Provider-Orientation-Slide-Deck-P-02112016.pdf

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English - Superior HealthPlan

(5 days ago) WEBSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a Medicare-Medicaid Plan made up of doctors, hospitals, pharmacies, providers of long …

https://mmp.superiorhealthplan.com/

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Part C Appeals - Superior HealthPlan

(3 days ago) WEBCall Superior STAR+PLUS MMP at 1-866-896-1844 (TTY: 711). Hours are 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and federal holidays, …

https://mmp.superiorhealthplan.com/appeals-grievances/part-c-appeals.html

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Provider and Billing Manual - Superior HealthPlan

(5 days ago) WEBTimely Filing 55 Refunds and Overpayments 55 Who Can File Claims? -----56 Electronic Claims Submission ----- 56 Welcome to Ambetter from Superior HealthPlan …

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

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Ambetter Timely Filing Limit - Initial Claims, Reconsideration, Appeal

(4 days ago) WEBAmbetter Timely Filing Limit of :1) Initial Claims2) Reconsideration or Claim disputes/Appeals3) Coordination of Benefits. Ambetter from Absolute Total Care - South …

https://www.rcmguide.com/ambetter-timely-filing-limit/

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Effective May 2024 Clinical Policies - Ambetter from Superior …

(3 days ago) WEBSuperior HealthPlan has updated certain clinical policies 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-may2024-clinical-policies.html

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Superior to Override Timely Filing for Claims - Superior HealthPlan

(3 days ago) WEBImpacted claims with dates of service October 27, 2020 through June 30, 2021 that are forwarded to Superior with a successful EVV claims match (EVV01) or …

https://www.superiorhealthplan.com/newsroom/superior-to-override-timely-filing-for-claims-impacted-by-tmhp-eligibility-verification-issues.html

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Clover Provider Quick Reference Guide - Clover Health

(2 days ago) WEBDEPARTMENT PHONE FAX Member Services ( 888 ) 657 - 201 7 Provider Services / Claims ( 877 ) 853 - 8019 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - …

https://cdn.cloverhealth.com/filer_public/f2/37/f23723f0-8a62-41f5-936e-8fe3ec15be90/provider_quickreference_guide_v02.pdf

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STATE OF NEW JERSEY v. ROLANDO FIGUEROA :: 2008 :: New …

(3 days ago) WEBSUPERIOR COURT OF NEW JERSEY. APPELLATE DIVISION. DOCKET NO. A-5983-06T45983-06T4. STATE OF NEW JERSEY, Plaintiff-Respondent, v. …

https://law.justia.com/cases/new-jersey/appellate-division-unpublished/2008/a5983-06-opn.html

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Payer ID Payer Name Comments - ABILITY Network

(2 days ago) WEB12725 Centene – Sunshine State Health Plan 12728 Centene – Superior HealthPlan Texas 13233 Centene – Total Care Carolina 11279 Centene Advantage …

https://www.abilitynetwork.com/wp-content/uploads/2019/12/December_EligibilityPayer_List.pdf

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