Review your health plan’s covered services for details. Treatment of special health needs and pre-existing conditions. Claims Address: PO Box 93780 Lubbock, TX 79493 EDI Payer ID: 71066 Phone: 1-800-399-7524: TTY 711 Plan – a Health Maintenance Organization (HMO) Special Needs Plan (SNP) with a Medicare contract and a coordination of benefits agreement with the Arkansas State Department of Health. If you have any concerns about your health, please contact your health care provider's office. Our team has made ... Get a self-funded health plan that radically improves your health coverage. Current Superior Members: After October 1st, your supply order will be shipped to you from Medline. Payspan offers healthcare reimbursement and payment systems that are secure, efficient, cost-effective choices for providers and payers. Any reproduction or distribution of any part of this manual without written consent from The Health Plan is prohibited. EnvisionRx is a full-service pharmacy benefit management company committed to lowering drug costs, improving health, and providing superior customer service in a manner that instills trust and confidence. Federally qualified health centers and rural health clinic modifier requirements. By communicating with Ambetter from Home State Health through email, you accept associated risks. Plan Benefits. Through our products – Davis Vision and Superior Vision – we cover the entire spectrum, from routine benefits to medical management. Classification:Home Health - 251E00000X Entity Type: Organization Address: 11625 PELLICANO DR STE B EL PASO, TX ZIP 79936 Get Directions Phone: (915) 591-0900 Vision or 800-840-7032 ; Dental or call the member services number on the back of your card ; Pharmacy or 800-460-8988; EAP (Employee Assistance Program) or call the number on your EAP wallet card or 800-646-9923 In 2009, the National Health Care Anti-Fraud Association (NHCAA) estimated that 3-10% of the nation's annual benefits paid for health care were paid for fraudulent or abusive submissions. phone number 1-800-879-6901. email Superior HealthPlan (Superior) STAR+PLUS Medicare-Medicaid Plan (MMP) contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees through one single health plan. The health center conducts an array of programs, such as CHIP perinatal care, CHIP rural services area (RSA) program, CHIP Superior Health Plan Kids and STAR, to name a few. American Health Advantage of Mississippi provides Medicare Part D prescription drug coverage through our partner EnvisionRx. You can also directly contact the Quality Translator that has been sending you Gaps-in-Care Reports for assistance. Enter your NPI number and NCPDP number to access the pharmacy portal; Navitus Health Solutions Pharmacy Helpdesk Phone number: 1-866-270-3877; TTY phone number: 711; Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria Learn more or join our network! Using a simple four step process, PRIME-Hub is designed with the health care provider staff in mind: Stay compliant with your health plan … Provider Relations Specialist A native of Hopkinton, Massachusetts, Tom majored in communications and media studies in college. Superior Vision. Following CDC guidelines for COVID-19, for a limited time we do not have in-person customer service. Ambetter from Peach State Health Plan does not accept responsibility or liability for any loss or damage arising from the use of email. Kansas Health Advantage 201 Jordan Road, Suite 200 Franklin, TN 37067. Driscoll Health Plan offers a wide range of value-added services so that its members can stay healthy and enjoy life as well. If you are a contracted Peach State Health Plan provider, you can register now. The member is sent a health plan identification card upon enrollment thereafter whenever a PCP change is made. A A A. Find 374 listings related to Superior Health Plan in Farmington on YP.com. Newly enrolled? Effective July 1, 2021, Amerigroup may deny or recover claims that are not billed with the required FQHC and RHC modifiers. Provider Services (Claims Status, Eligibility, and Benefits): 1-888-821-1108 Monday through Friday from 7 a.m. to 7 p.m. Central time Provider Relations Department: 1-512-324-3125 You will receive notice when necessary. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Cigna Health Insurance 800-244-6224. The email address and phone number listed above can also be used for eligibility, benefits and general inquiries. Our registration process is quick and simple. Arrivals Departures Terminal. 4665 Business Center Drive Fairfield, CA 94534-1675. Enter your NPI number and State to access the prescriber portal; Navitus Health Solutions Pharmacy Helpdesk Phone number: 1-866-270-3877; TTY phone number: 711; Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria. Website For technical help with the secure Humana.com provider portal, please call 1-877-845-3480 . Molina has provided the best healthcare quality and affordability in Utah for more than 30 years. Tufts Health Plan distributes its Provider Update* newsletter by email.In order to receive Provider Update, you must complete the online registration form. The Formulary, pharmacy network, and/or provider network may change at any time. *Copies of this information can be made available upon request by calling the appropriate Tufts Health Plan Provider call center. Claims must be submitted directly to SuperiorUSA via fax or mail. NPI: 1427068980 Provider Name: SUPERIOR MANAGED CARE, INC. Through its family of companies, Envolve administers tailored managed vision plan services designed to reduce health plan and member costs while delivering superior vision benefits, including medical surgical vision care. Behavioral Health Services are private so you do not … If you don’t have your account yet, setting it up is quick and easy –get started now! By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information. Full information for superior health plan provider portal with details and many sources explained. Learn more about our health insurance resources for providers. For any provider education requests or questions specific to NIA and the Medical Specialty Solutions Program, Providers may contact April Sabino, Senior Clinical Provider Relations Manager at ajsabino@magellanhealth.com or 1-410-953-1078. Updates to provider’s current enrollment, new practice locations or change of ownership updates, can be made on this site titled “Provider Enrollment on the Portal, A Step by Step Guide”, accessible here. Phone 713.295.6704 or 1.855.315.5386. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. Provider Procedural Manual This manual is intended for the sole use of the physicians of The Health Plan. Phone hours: Monday through Friday, 8:00 a.m. - 6:00 p.m. Email: info@phs.org Live chat for members: Start Now Address: 9521 San Mateo Blvd, NE Albuquerque, NM 87113 PresRN: 505-923-5677 or 1-888-730-2300 New Mexico Crisis and Access Line: 1-855-662-7474. Compare value-added services offered by the health plans in your service area. American Health Advantage of Tennessee provides Medicare Part D prescription drug coverage through our partner EnvisionRx. Some STAR members with special health care needs might receive service management. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Kansas Health Advantage 201 Jordan Road, Suite 200 Franklin, TN 37067. Our response systems can be a great supplement to individuals who already receive care at home or for those who may not need an in-home caregiver, but need the security of knowing that they can receive immediate help with just the push of a button! Flexible, custom plans at lower costs without the hassle. We provide health care payment solutions and payment automation services that improve administrative efficiency and enable payers and … Shop for Plans show Shop for Plans menu. Treatment of special health needs and pre-existing conditions. Elixir is a full-service pharmacy benefit management company committed to lowering drug costs, improving health, and providing superior customer service … MMP Provider and Pharmacy Directory Review. Prevea Health is an integrated multi-specialty group with primary care providers and exceptional specialists in Green Bay, Sheboygan, Oconto and the Chippewa Valley. Ambetter from Superior HealthPlan 1-877-687-1196 For information on vision care plans offered outside of employers, please click […] Learn about the Longevity Health Plan provider network, access our online portal, plus find important plan information, directories, and documents. Adult Home Health Care also known as Skilled Intermittent Service is characterized as a service in which a skilled health care professional such as a Registered Nurse (RN) and others listed below, visit the patient’s home to provide periodic (intermittent) care for a short timeframe. EnvisionRx is a full-service pharmacy benefit management company committed to lowering drug costs, improving health, and providing superior customer service in a manner that instills trust and confidence. Centene is also the national leader in managed long-term services and supports, and the number one carrier in the nation on the Health Insurance Marketplace. COVID-19 Cares Center In-Person Assistance Notice For your health and ours, we are not offering walk-in assistance at this time.Please call 713.295.6704. to schedule an appointment or discuss other options for assistance.. We will confirm your appointment and give you a phone number to text when you arrive. Superior Vision - Health Plan Customer Service. PRIMETIME HEALTH PLAN PrimeTime Health Plan is an HMO-POS plan with a Medicare contract. 1-866-463-1462 (Special Needs Unit) Provider Services. The Superior HealthPlan Provider Directory is a list of physicians, hospitals, drug stores, dentists and other healthcare providers that are available to you. Members can call our Member Services to learn about your benefits and covered services, as well as how to access paid rewards. To access our TTY phone line, please dial 330-363-7460 or toll-free at 1-800-617-7446 for the hearing impaired. If you service members with the Federal Dental Plan, you can review these exclusive provider organization (EPO) and preferred provider organization (PPO) plan summaries and helpful documents. 5 – NIA IPM Frequently Asked Questions – Superior HealthPlan SHP_20206778B necessity and reviewed to determine whether a situation occurred that prevented the provider from obtaining authorization prior to providing services. Explain how the Superior Vision plan is administered, and provide details on fees and reimbursement schedules.
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