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Claim Adjustment Reason Codes Crosswalk

www.superiorhealthplan.com

ex1k 6 n129 deny: procedure code is inconsistent with patient s age deny ex1l b14 m86 deny: visit & preven codes are not payable on same dos w o documentation deny ex1n 251 n237 no evv visit match for medicaid id and npi/api for date of svc billed deny claim adjustment reason codes crosswalk superiorhealthplan.com shp_20205782

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Ambetter from Superior HealthPlan

www.superiorhealthplan.com

Payor ID 68069 − Clearinghouses currently utilized by Ambetter will continue to be utilized − For a listing our the Clearinghouses, please visit out website at Ambetter.SuperiorHealthPlan.com 3. By mail, paper claims may be submitted to: Ambetter from Superior HealthPlan P.O. Box 5010 Farmington, MO 64640-5010

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Medicare Prior Authorization List Effective January 1, 2021

www.superiorhealthplan.com

Effective January 1, 2021 Allwell.SuperiorHealthPlan.com SHP_20207187A . Allwell from Superior HealthPlan (HMO and HMO SNP) requires prior authorization as a condition of payment for many services. This notice contains information regarding prior authorization requirements and is applicable to all Medicare products offered by Allwell.

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Tamiflu® Treatment and Prophylaxis Information per CDC ...

www.superiorhealthplan.com

Tamiflu® Treatment and Prophylaxis Information per CDC Recommendations SuperiorHealthPlan.com SHP_20174297B Tamiflu Standard Dosing Information for Treatment: Antiviral Agent Activity Against Use Recommended For Not Recommended for Use in Children Adults Duration Adverse Events Oral Tamiflu (oseltamivir) Influenza A and B Treatment (5 days)

  Recommendations, Prophylaxis, Superiorhealthplan, Recommendations superiorhealthplan

2021 Prescription Drug List - Superior HealthPlan

ambetter.superiorhealthplan.com

2021 Prescription Drug List Effective January 1, 2021. Ambetter.SuperiorHealthPlan.com

  Prescription, Drug, Lists, 2012, Superior, Healthplan, 2021 prescription drug list, Superiorhealthplan, Superior healthplan

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