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The web portal can be used to: Verify member eligibility. Submit claims and check their status. Submit and confirm authorizations. View detailed patient lists. Update provider demographic information.* For more information please review the Secure Provider Portal Booklet (PDF).
You may access the InterQual® SmartSheet(s)™ for Adult and Pediatric procedures, durable medical equipment and imaging procedures by logging into the secure provider portal or by calling Superior HealthPlan.
Click Ok below or press Enter on your keyboard to continue your session.
To view the Superior Prior Authorization Prescreen Tool, access the links below by program: Medicaid and CHIP. Medicare Advantage. STAR+PLUS MMP. Health Insurance Marketplace (Ambetter from Superior HealthPlan) Prior Authorization Requirements effective September 1, 2019 and after:
Superior’s Secure Provider Portal makes managing patient administrative tasks easy and convenient. Using our online tool, you can get immediate access to patient information to check eligibility for Superior member appointments, view care gaps as well as manage claims and other administrative tasks with ease.
2020 Medicaid Prior Authorization Change Log (PDF) Health-care providers are responsible for submitting prior authorization requests. These requests can be submitted by phone, fax or online, using Superior’s Secure Provider Portal.
Access Daily Patient Lists from One Screen. One concise view allows primary care providers to scan patient lists for Ambetter from Superior HealthPlan member eligibility, care gaps, and much more. Manage Batch Claims for Free. Submit and manage claims, including batch files, for free.
Ambetter from Superior HealthPlan offers a provider resource toolkit so you can focus on providing care. Learn more about our health insurance provider support.
Superior HealthPlan provides affordable health insurance plans and is one of the largest Texas Medicaid providers. Login, enroll or find a doctor today.
Access the UnitedHealthcare Provider Portal for online patient and practice information, claims, and authorizations.