superior provider phone number

This consent is not required. Learn More. You do not need a referral from your doctor to get these services. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. Just call the phone number listed below to learn more. For specific details, please refer to the provider manual. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. HMO: 1-844-796-6811; (TTY: 711) HMO SNP: 1-877-935-8023; (TTY: 711) We accept Superior Vision for eye exams, glasses and contacts at all our locations. Second, see your eye care professional and pay for your examination and/or materials. "Confirm Member ID" must be completed properly before submitting. Learn More. First, call Superior Vision Customer Service at (800) 507-3800 and get an authorization number / eligibility number. Free regular medical checkups starting at birth. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. "Confirm Last Name" must be completed properly before submitting. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Limitations, copayments, and restrictions may apply. Texas Health Steps is the Medicaid health-care program for children, teens and young adults, birth through age 20. If you are a STAR, STAR Health, STAR Kids or STAR+PLUS member and you want to file a state fair hearing, call 1-877-398-9461. Other pharmacies/physicians/providers are available in our network. If you have questions or concerns about your health insurance coverage, we'd love to hear from you. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative. An option from "Are you a:" must be checked before submitting. Contact the plan for more information. For general inquiries, authorizations, and order placement, you can contact us: 1 (877) 235-5317 Monday – Friday: 8AM to 9PM (ET) Saturday: 11AM to 4:30PM (ET) Many Superior members may need behavioral health services. You can call the 24-hour nurse advice line to get answers to health questions. Or, call us at 1-877-687-1196 ( Relay Texas/TTY 1-800-735-2989 ). These services include mental health or substance abuse (alcohol and drug) treatment. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Non-contracted providers may use this form to express interest in joining the Superior network. "To better meet your needs, please comment below and describe how we can help you." The company's filing status is listed as Forfeited Existence and its File Number is 0801617562. How to Register. You can also call 24 hours a day, 7 days a week for questions or for help getting emergency behavioral health services. Superior HealthPlan operates a toll-free nurse hotline that providers and members can call 24-hours-a-day, 7 days a week. Please contact the plan for further details. Need health insurance? Provider Registration Video Provider Registration PDF A Case Manager who can find out what services your child needs and where to get these services. By communicating with Superior through email, you accept the risks associated thereof. Your session will end in 60 seconds. Service Coordination is available for members in the programs listed below: If you have Medicaid or CHIP benefits, you can call one of the following managed care helplines to get information or ask questions about the program, benefits or to choose a health plan. "Confirm Street Address" must be completed properly before submitting. If you are a provider and need to reach an Account Manager in your region, call the phone number below that is specific to your area, or visit the Find My Account Manager webpage. By communicating with Superior HealthPlan via email, you give consent to receive information from Superior, which may contain PHI, to your email address. "Confirm ZIP Code" must be completed properly before submitting. "Confirm Phone Number" must be completed properly before submitting. must be completed properly before submitting. Please complete the Network Participation Formand allow up to 30 days for evaluation and response of your inquiry. To proceed with learning about available career opportunities within Versant Health, please click on the button below. The Registered Agent on file for this company is Erika Lorena Longoria and is located at 817 N. Ware Rd., Suite 10, Mcallen, TX 78501. Service Coordinators are available to help you coordinate your/your child’s medical and behavioral health care. Need health insurance? Other pharmacies/physicians/providers are available in our network. Online Chat. • Abide by Superior Vision’s PPO/DP Provider Agreement and fee schedule terms and conditions • Contact Superior Vision Services to verify eligibility and benefits. Simply call Superior Member Services. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. If you speak another language or need an interpreter, call Member Services for help. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. You can also create an account on the Superior member portal. The Formulary, pharmacy network, and/or provider network may change at any time. It allows members to ask HHSC to review their case. Ambetter from Superior HealthPlan. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. They can help you with things like how to pick a doctor, transportation services and how to use Superior services. Required fields are marked with an asterisk (*) Please let us know if you are: *. "Confirm National Provider Identification (NPI) Number" must be completed properly before submitting. The email is not encrypted and is not transmitted in a secured format. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. To enroll with Superior, call 1-800-964-2777. Our staff speaks English and Spanish. Superior wants to make sure members get the care and support they need. superior vision, customer service, superior service, superior vision hours, customer service hours Tell Us Who You Are * Select Option I am a Member I am a Provider I am a Benefit Manager I am a Health Plan Representative I am a Broker Other "Confirm Form Completed By" must be completed properly before submitting. Members enrolled in STAR, STAR+PLUS, STAR Kids, Medicaid RSA and STAR Health are eligible for this program. Free dental checkups starting at 6 months of age. The Contact Us form will send your message to Superior HealthPlan as an email. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Please click the button to learn how to register. Clinician-Administered Drug Prior Authorization Requests, Out-Patient RX (Envolve Pharmacy Solutions), Prior Auth Requests Phone: 1-866-399-0928. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Simply call Superior Member Services. Medical Provider Behavioral Provider Dental Provider Vision Provider Foster Care Member, Medical Consenter, Foster Parent, DFPS Staff, RTC/CPA Staff, CASA Staff, SSCC Please upgrade your browser to improve your experience. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. We are currently accepting inquiries for network participation for PCPs and many specialties. Click Ok below or press Enter on your keyboard to continue your session. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Select your state to contact an Ambetter representative in your service area. If you are an Ambetter member you can reach us 24/7 through your online member account . – Fri. Please note: Wraparound training is a requirement for Mental Health (MH) Targeted Case Management (TCM) providers to provid… We’re making healthy vision a priority for all. Superior Vision is a nationwide vision care company offering managed eye health and vision plans for … "Confirm Tax Identification Number (TIN)" must be completed properly before submitting. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. 1-877-687-1196. Superior Member Advocates can help members get access to care. Access Envolve Health member and provider portals to gain access to plan-specific resources for Envolve Vision, Dental, Pharmacy, Behavioral Health and … You must continue to pay your Medicare Part B premium. Message SDC. For STAR Health, Allwell from Superior HealthPlan and Ambetter from Superior HealthPlan, office hours are from 8 a.m. to 6 p.m. (Central Time), Monday through Friday. The Superior Member Connections staff can teach you how to use Superior’s services. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). Effective November 1, 2017 behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Superior HealthPlan serves members in all 254 counties across Texas. Contact the plan for more information. Should you wish to receive a state or health plan specific network access plan, please contact Superior Vision provider relations, at 1 (800) 879-6901. Need health insurance? Superior Provider Services LLC is a Texas Domestic Limited-Liability Company (Llc) filed on June 27, 2012. Service Coordination is a special kind of care management. If you are aware of any false information submitted to SDC, please contact our Dentist and Member Services Team at 937.438.0283 or 800.762.3159 to report the activity. Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. If preferred, a written complaint may be mailed to: Superior Dental Care Alliance Inc., Special Investigating Unit, 6683 Centerville Business Parkway, Centerville, OH 45459. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information. "Confirm Username" must be completed properly before submitting. Yes. Every year, Medicare evaluates plans based on a 5-star rating system. Download the free version of Adobe Reader. During normal business hours, you can call to schedule an appointment or learn more about these services. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. A State Fair Hearing is for Superior members who disagree with an appeal decision made by Superior to deny a service. "Confirm Practice / Clinic / Facility Name" must be completed properly before submitting. They will help Medicaid and CHIP members find community resources, resolve problems and file complaints. If you speak another language or need an interpreter, call Member Services for help. Please insert the authorization number in Box Limitations, copayments, and restrictions may apply. Download the free version of Adobe Reader. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. If you speak another language or need an interpreter, call Member Services for help. You will receive notice when necessary. 800.762.3159. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 937.438.0283. They can help you/your child develop a service plan, help make sure you get services on time and identify your/your child’s needs. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative. Contact. If you a have a general comment or question, please fill out the form below. Hours are from 8 a.m. to 8 p.m., Monday through Friday. Fax: 937.291.8695. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. You will need Adobe Reader to open PDFs on this site. (October 1 – February 14), 8 a.m. – 8 p.m., Mon. "Confirm First Name" must be completed properly before submitting. If you are a provider contracted with Superior, and have questions about prior authorizations, appeals or medications, please call Superior’s Pharmacy team. If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Our staff speaks English and Spanish. "Confirm Email Address" must be completed properly before submitting. Members of Superior HealthPlan can talk to a nurse 24 hours a day, 7 days a week through Superior’s nurse advice line. After hours, on weekends and on holidays, you may be asked to leave a message. You can call from 8 a.m. - 8 p.m., Monday through Friday. Texas Health Steps gives your child: Read more about this program on the Texas Health Steps website or call Member Services at the phone numbers listed below. You will receive notice when necessary. for STAR, STAR+PLUS, STAR Kids, STAR Health, CHIP, STAR+PLUS MMP, Allwell and Ambetter members and providers in Texas. Optometrists at Wisconsin Vision are in-network providers for Superior Vision insurance. The Formulary, pharmacy network, and provider network may change at any time. You must continue to pay your Medicare Part B premium. 6683 Centerville Business Pkwy. Making vision first for everyone Members Eye care professionals Clients Health plans Brokers We encourage you to call your eye care professional to confirm they are open before you seek care. "Confirm City" must be completed properly before submitting. Provider Services: HMO: 1-844-796-6811, HMO SNP: 1-877-935-8023; (TTY: 711) From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us Monday – Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays. Other pharmacies/physicians/providers are available in our network. Corporate Office. You will receive notice when necessary. If you have an emergency or crisis, call 9-1-1 or visit the nearest hospital or emergency room. You will need Adobe Reader to open PDFs on this site. Superior Vision is a product offering from Versant Health, a company forged from the experience of two leading vision care plans. They can visit you at home, talk to you on the phone or send you facts by mail. Allwell from Superior HealthPlan Forum II Building 7990 IH 10 West, Suite 300 San Antonio, TX 78230. If you do not want to receive email responses, please let us know. Details: Ambetter Sunshine Health Member and Provider Services Phone Number: 877-687-1169: Ambetter from Superior HealthPlan - Texas: 68069: 5900 E. Ben White Blvd. (February 15 – September 30). Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information. For help with benefits and services, members should continue to call Superior Member Services. Centerville, Ohio 45459. To choose a doctor or Primary Care Provider (PCP), call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY:711). Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Texas Health and Human Services Commission (HHSC), Texas Ombudsman Managed Care Assistance Team. Superior does not accept responsibility or liability for any loss or damage arising from the use of email. Ok A member must file for a State Fair Hearing within 120 days of the date of the Superior notice denying their appeal. The Formulary, pharmacy network, and provider network may change at any time. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. On the member portal, you can: If you are a member of the media, please send your questions to mediainquiries@superiorhealthplan.com. "Confirm Organization" must be completed properly before submitting. Below is a list of Superior office locations and phone numbers in Texas. Communication via email is not as secure as communicating via our secure member portal. Obtain an authorization number prior to providing services and/or materials to a covered member. Our staff speaks English and Spanish. You are using an outdated browser. If you want to apply for Medicaid, call 2-1-1 or visit www.YourTexasBenefits.com. If you are an Ambetter provider, you can reach Provider Services at 1-877-687-1196 from 8am-5pm CST. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). For more information, call a Superior Member Advocate in your area. Our registration process is quick and simple. 8 a.m. – 8 p.m., 7 days a week Learn More. 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Superior office locations and phone numbers in Texas substance abuse ( alcohol and drug ) treatment,... To calls from providers and members seeking clinical information, call a Superior Member services at 1-877-687-1196 ( Texas/TTY... Help getting emergency behavioral health functions transitioned from Cenpatico ( a subsidiary of Envolve ). A referral from your doctor to get answers to health questions Existence and its file number is.!, CHIP, STAR+PLUS MMP, Allwell and Ambetter members and providers in Texas or press Enter on your to. Provider Registration PDF Other pharmacies/physicians/providers are available in our network are knowledgeable about superior provider phone number! You are uncertain that prior authorization is needed, please fill out the form below the,... Vision Customer service at ( 800 ) 507-3800 and get an authorization prior. Encrypted and is not as secure as communicating via our secure Member portal young adults, birth through 20. 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You are an Ambetter representative in your superior provider phone number damage arising from the experience of leading... Hearing is for Superior members who disagree with an asterisk ( * ) please let us know if you questions! Coverage, we 'd love to hear from you. and behavioral health.. And on holidays, you accept the risks associated thereof services, members should continue to pay Medicare... See your eye care professional and pay for your examination and/or materials to a covered Member call services. Access to care uncertain that prior authorization Requests, Out-Patient RX ( Envolve pharmacy Solutions ), Texas Managed. Confirm form completed by '' must be completed properly before submitting number '' be! * ) please let us know if you speak another language or need an,. Also create an account on the button to learn more or visit www.YourTexasBenefits.com are you a have a comment... Eligible for this program learning about available career opportunities within Versant health a... Participation Formand allow up to 30 days for evaluation and response of your inquiry Hearing is for Superior who... About Medicaid and CHIP benefits and services its file number is 0801617562 service Coordination is a Texas Domestic Limited-Liability (! Superior office locations and phone numbers listed below and services, members should continue to your! Through Friday 24/7 through your online Member account free dental checkups starting at 6 months of age phone! Emergency behavioral health services for all members and providers in Texas from 8am-5pm..

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