Superior Health Plan Prior Authorization

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Prior Authorization Superior HealthPlan

(3 days ago) WEB02/02/24. Effective March 1, 2024, Superior HealthPlan will no longer require prior authorization for certain genetic testing for Medicaid (STAR, STAR Health, STAR Kids, …

https://www.superiorhealthplan.com/providers/preauth-check.html

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REQUEST FOR PRIOR AUTHORIZATION - Superior HealthPlan

(9 days ago) WEBSuperior requires services be approved before the service is rendered. Please refer to SuperiorHealthPlan.com . for the most current full listing of authorized procedures and …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/SHP_2013218-PriorAuthForm-P.pdf

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Provider Toolkit Prior Authorization Guide - Ambetter …

(3 days ago) WEB1-877-687-1196. After normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned by phone, …

https://ambetter.superiorhealthplan.com/provider-resources/provider-toolkit/provider-toolkit-prior-authorization-guide.html

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Clinical Prior Authorization Superior HealthPlan

(7 days ago) WEBThe following clinical prior authorizations have been implemented for Medicaid members, consistent with the Vendor Drug Program guidance. For any clinical edits that are …

https://www.superiorhealthplan.com/providers/resources/pharmacy/clinical-prior-authorization.html

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Prior Authorization (Part C) - Superior HealthPlan

(6 days ago) WEBWhich services require Prior Authorization? To get a list of services that require prior authorization, please refer to your Member Handbook or contact …

https://mmp.superiorhealthplan.com/benefits/prior-auth-part-c.html

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Prior Authorization Requirements for Health Insurance …

(6 days ago) WEBPrior Authorization Requirements effective September 1, 2019 and after: The effective date of prior authorization requirements implemented on or after …

https://ambetter.superiorhealthplan.com/provider-resources/manuals-and-forms/prior-authorization-requirements-for-health-insurance-marketplac.html

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Prior Authorization List - Superior HealthPlan

(1 days ago) WEBPrior Authorization List . Phone: 1-800-218-7508 . Fax: 1-800-690-7030. Outpatient: 1-844-310-5517 . Superior HealthPlan requires that all services described on this list be …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/SHP_20163781_Prior-Authorization-List-P.pdf

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Referral and Authorization Information - Ambetter from Superior …

(3 days ago) WEBYou will need to obtain a referral prior to the specialist visit. It’s easy to confirm referrals made by your PCP through the Ambetter Virtual Access Member app. If you do not have …

https://ambetter.superiorhealthplan.com/resources/handbooks-forms/referral-authorization.html

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Prior Authorization, Step Therapy and Quantity Limits - Superior …

(5 days ago) WEBPrior Authorization Criteria (PDF) - Updated December 1, 2023. Step Therapy Criteria (PDF) - Updated October 15, 2022. Quantity Limits - Refer to the List of …

https://mmp.superiorhealthplan.com/prescription-drug-part-d/prior-auth.html

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Ambetter from Superior HealthPlan Prior Authorization List

(3 days ago) WEBPHONE: 1-877-687-1196. Health Insurance Marketplace (HIM) Physical Health, Behavioral Health, Ambetter from Superior HealthPlan Clinician Administered Drugs (CAD) Prior …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/SHP-20207208-Ambetter-Prior-Authorization-List.pdf

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Resources / Materials - Superior HealthPlan

(9 days ago) WEBThis decision or approval, sometimes called prior authorization, prior approval, or pre-certification, must be obtained prior to receiving the requested service. …

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

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Ambetter Prior Authorization - Ambetter from Superior HealthPlan

(6 days ago) WEBDate: 05/31/23. This notice contains information regarding the removal of prior authorization requirements for some procedure codes that currently require prior …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/ambetter-prior-authorization.html

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Ambetter from Superior Healthplan - Inpatient Authorization …

(2 days ago) WEBINPATIENT AUTHORIZATION FORM. Complete and Fax to: 866-838-7615 Fax Medical Records to: 800-380-6650 Behavioral Health Requests/Medical Records: Fax 844-824 …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/ET-Ambetter-Inpatient-1423_06252020.pdf

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RADMD Ambetter from Superior HealthPlan

(3 days ago) WEBWelcome to the Ambetter from Superior HealthPlan page. The documents below have been designed to help RadMD users navigate the prior authorization …

https://www1.radmd.com/all-health-plans/ambetter-from-superior-healthplan

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Prior Authorization - Aetna Better Health

(4 days ago) WEBIf you have questions about what is covered, consult your Provider Manual or call 1-855-456-9126. Remember, prior authorization is not a guarantee of payment. Unauthorized …

https://www.aetnabetterhealth.com/ny/providers/information/prior

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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 …

https://mmp.superiorhealthplan.com/

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBHorizon NJ Health UM Department to verify that a prior authorization has been obtained. To check status of Prior Authorization and/or changes to the Prior Authorization, go …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Providers Tools, Resources & More Anthem - Empire Blue

(1 days ago) WEBBehavioral Health Provider Resources. As the nation’s second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access. Ready to …

https://www.anthembluecross.com/provider/

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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, …

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

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Contact Us - The Empire Plan's Provider Directory

(6 days ago) WEB1-800-354-4054. Questions? If you have questions about The Empire Plan's Participating Provider Program or Managed Physical Medicine Program, please call The Empire Plan …

http://www.empireplanproviders.com/contact.htm

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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 …

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

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Asthma Awareness Month: Inclusion of National Guidelines into …

(Just Now) WEBDate: 05/13/24. In support of Asthma Awareness Month, Superior HealthPlan would like to share the American Lung Association's advocacy for the inclusion of …

https://www.superiorhealthplan.com/newsroom/asthma-awareness-month-05132024.html

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