Search results with tag "Healthplan"
Texas - Superior HealthPlan
ambetter.superiorhealthplan.comAmbetter from Superior Healthplan Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640 -5010 Ambetter from Superior Healthplan Attn: Level II – Claim Dispute PO Box 5000 Farmington, MO 63640 -5000
Ambetter from Superior HealthPlan
www.superiorhealthplan.com• Ambetter from Superior HealthPlan is an HMO Benefit Plan. • Members enrolled in Ambetter must use in- network participating providers, except in the case of emergency services. • If an out-of-network provider is used (except in the case of emergency services), the member will be 100% responsible for all charges.
Secure Provider Portal - Superior HealthPlan
staging3.centene.comFor assistance with the Secure Provider Portal, contact Superior’s Web Applications Support Desk at 1-866-895-8443 or email TX.WebApplications@SuperiorHealthPlan.com.
Ambetter from Superior HealthPlan
www.superiorhealthplan.comAmbetter from Superior HealthPlan P.O. Box 5010 Farmington, MO 64640-5010 . Claim Submission Claim Reconsiderations: • A written request from a provider about a disagreement …
Medicare Advantage HHSC Contract Number CMS Code ... - …
www.tmhp.comMedicare Advantage Plan MCO HHSC Contract Number CMS Code Plan ID Plan Name Type Counties Served Superior HealthPlan Community Solutions, Inc. HHS000265000001 H0062 002 Allwell from Superior HealthPlan MAP Collin, Dallas, Denton, Rockwall, Tarrant
Medicare Prior Authorization List Effective January 1, 2021
www.superiorhealthplan.comEffective 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.
2021 Prescription Drug List - Superior HealthPlan
ambetter.superiorhealthplan.com2021 Prescription Drug List Effective January 1, 2021. Ambetter.SuperiorHealthPlan.com
Change Healthcare CLAIMS Provider Information Form ...
www.emdeon.comPayer(s): SX140 - CA - PARTNERSHIP HEALTHPLAN . 12M81 - CA - PARTNERSHIP HEALTH PLAN . Topic: ** IMPORTANT REMINDER ** Be advised that Partnership Healthplan of California requires an EDI Enrollment Agreement to be completed by any
Reconsideration Request Form - Superior HealthPlan
www.superiorhealthplan.comCheck box if this Reconsideration Request is for multiple claims. Please attach a separate list if more than one claim number and/or member ID is related to this reconsideration request. Provider Name Provider Tax ID Provider NPI Date of last Explanation of Payment Superior Claim Number* Dates of Service* Member Name* Member ID* *Required fields
Summary of Benefits and Coverage: What this Plan Covers ...
api.centene.comAmbetter from Superior HealthPlan: Coverage for: Individual/Family | Plan Type: EPO Ambetter Balanced Care 32. SBC-29418TX0140101-06 Underwritten by Celtic Insurance Company . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.
REQUEST FOR PRIOR AUTHORIZATION - Superior HealthPlan
www.superiorhealthplan.comAssisted Living Adult Foster Care. Adaptive Aids Emergency Response Services ... Superior requires services be approved before the service is rendered. ... which is not an emergency but is severe or painful enough to require medical treatment evaluation or treatment within 24 hours to prevent serious deterioration of the member’s condition or ...
Assurance™ EDI - Claim Status Payer List
connectcenter.changehealthcare.comAllwell from Superior HealthPlan CNTENE 7785/8527 No 68069 Real Time No Allwell from Western Sky Community Care CNTENE 1075/8102 No 68069 Real Time No Altius ALTIUS 1837/8538 No SX113 Real Time No Ambetter from Health Net CNTENE 7808/8583 No 68069 Real Time No Ambetter from Homestate Health CNTENE 7809/8584 No 68069 Real Time No ...
Payer Claims List - edsedi.com
edsedi.com61425 ACEC-Healthplan No 61474 ACS Benefit Service (PO Box 2400 Winston, NC only) No 72468 ACS Benefit Services (Salem Winston, NC) No ... CPPSA Advantage by Superior (PO Box 537030, Sacramento, CA No 83077 Advantek Benefit Admin (Fresno, CA) No 43168 Advantica Administrative Svcs (St. Louis, MO) No
ECHO Electronic Remittance Advice ERA 835 - eSolutions
payerlist.claimremedi.comAmerica’s Choice Healthplan Gateway Health Plan - Medicare AmeriHealth Caritas Delaware GemCare – Manag ed Care Systems AmeriHealth Caritas District o f Columbia Global Care – Boulder Adm inistration AmeriHealth C aritas Louisiana G.M.P. – Employers Retiree Trust AmeriHe alth Caritas Pennsylvania GMS, Inc.
Clearance EDI Eligibility Payer List
connectcenter.changehealthcare.comAllwell from Superior HealthPlan CNTENE 68069 X12 No Allwell from Western Sky Community Care CNTENE 68069 X12 No Alternative Insurance Resources, Inc. ATIRS X12 No AMA Insurance AMAIA1 AMAIA X12 Portal Amalgamated Life AMGMT1 13550 Portal Ambetter from Buckeye Community Health Plan CNTENE 68069 X12 No
PHC TAR REQUIREMENTS - Partnership HealthPlan
www.partnershiphp.orgAttachment A - MCUP3041 Attachment A - MCUP3049 Attachment B - MCUG3007 Revised 10/13/2021 [Treatment Authorization Request (TAR) to …
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