Superior Health Plan Policy Manual

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Provider Training and Manuals Superior HealthPlan

(6 days ago) WebMental Health Rehabilitation and Targeted Case Management (SB58) Training (PDF) Nursing Facility Provider Training (PDF) Outpatient Behavioral Health Provider Training …

https://www.superiorhealthplan.com/providers/training-manuals.html

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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 …

https://mmp.superiorhealthplan.com/benefits/member-handbook.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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Clinical Policy: Short Inpatient Hospital Stay - Superior …

(7 days ago) WebIt is the policy of Superior HealthPlan that day one and day two (if applicable) of an inpatient Centers for Medicare & Medicaid Services (CMS). Medicare Benefit Policy …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/clinical-policies/TX.CP.MP.582.pdf

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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 Resources, Manuals, and Forms - Ambetter from Superior …

(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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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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Effective January 2023 Clinical Policies - Ambetter from Superior

(9 days ago) WebEffective January 31, 2023: Clinical Policies. Date: 01/25/23. Superior HealthPlan has updated certain policies to ensure medical necessity review criteria is current and …

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

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Member Handbooks and Forms Superior HealthPlan

(2 days ago) WebMember Handbooks. The member handbook link below contains updated information for STAR, STAR Kids, STAR+PLUS and STAR Health handbooks, effective 7/17/2023. You …

https://www.superiorhealthplan.com/members/medicaid/handbooks-forms.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 shares …

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

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Effective June 1, 2024: Pharmacy and Biopharmacy Policies

(4 days ago) WebDate: 05/21/24. Superior HealthPlan has added, updated or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and …

https://www.superiorhealthplan.com/newsroom/eff-06012024-pharmacy-and-biopharmacy-policies-05212024.html

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Effective January 22, 2024: Clinical Policies

(5 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 by the …

https://www.superiorhealthplan.com/newsroom/effective-01222024-clinical-policies.html

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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 …

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

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) Webthe anniversary date of the member’s policy with that other insurer. Annually, on or after the anniversary date, the hospital, physician or health care professional must provide notice …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.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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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WebMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Administrative Policy: Diagnostic Imaging Privileging by …

(7 days ago) WebAll 78000 nuclear medicine studies are included in this section, please consult your Provider Manual to determine which nuclear studies require prior …

https://www.horizonblue.com/sites/default/files/2018-02/Diagnostic_Imaging_Privileging_Policy.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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Effective August 1, 2024: Pharmacy and Biopharmacy Policies

(4 days ago) WebDate: 05/21/24. Superior HealthPlan has added, updated, or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is …

https://www.superiorhealthplan.com/newsroom/eff-08012024-pharmacy-and-biopharmacy-policies-05212024.html

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