Providers now have the option to submit COB claims and Correct Claims through the Secure Web Portal. Click here to view the EDI Mapping Guide.

COB CLAIMS

For both Professional and Institutional claims submissions on the Secure web portal, providers have an additional question asking “Does the member have additional coverage?”. If “No” is selected, the provider can continue with the claim as normal. If ”Yes” is selected, the Coordination of Benefits section will be available at the next step of the claims submission.

Read more on Secure Portal Enhancements: COB Claims and Claim Adjustments…

ECI Providers should forward a copy of the Member’s IFSP to Superior HealthPlan  via email or mail:

• Email: TX-ECI@centene.com
• Superior Health Plan

ATTN: Case Management – ECI
8431 Fredericksburg Road, Suite 340
San Antonio, Texas 78229

Read more on ECI: Member’s IFSP…

Obstetric Services

Discontinued
Q2042

Added
J1725

Limitations for added procedure codes: Medical services procedure code J1725 may be reimbursed to NP, CNS, PA, physician, and certified nurse midwife (CNM) providers for services rendered in the office setting; to DME medical supplier providers for services rendered in the home setting; and to hospital providers for services rendered in the outpatient hospital setting. Procedure code J1725 replaces procedure code J3490 with modifier TH and procedure code Q2042.

Read more on Obstetric Services J3490 Discontinued…

Wednesday, April 11th 10AM Eastern Daylight Savings Time (EDT)
https://www2.gotomeeting.com/register/392246338

Wednesday, April 11th 2PM Eastern Daylight Savings Time (EDT)

https://www2.gotomeeting.com/register/319298554

Thursday, April 12th 10AM Eastern Daylight Savings Time (EDT)

https://www2.gotomeeting.com/register/473977082

Thursday, April 12th 4PM Eastern Daylight Savings Time (EDT)

https://www2.gotomeeting.com/register/305009642

Read more on PaySpan Health Webinars…

March 26, 2012

ATTN: All Providers

Effective 6-1-2012 the following Genetic Testing Codes will require authorization.

You may request authorization by Web Portal, www.superiorhealthplan.com, Fax, 800-690-7030, or phone, 800-218-7508.

Genetic Testing Codes Authorization Required

Read more on Memo Genetic Testing…

The manual covers a variety of topics including billing, provider responsibilities, benefits and eligibility, quality assurance and improvement, and much more. For your “one stop shop” for all questions, issues and needs for serving members of Superior HealthPlan, click here. For additional questions and issues, contact your regional Provider Relations Representative or you can contact Provider Services at 1-877-391-5921, option 3.

Read more on Updated Provider Manual…

Do you want to be? Do you want to understand more? Let Superior Help! Click here for more information on the Texas Health Steps program and available resources. You can also contact your local Provider Relations Representative for information about your practice and ways we can help you increase your exam rate!

Read more on Are You a Texas Health Steps Provider?…

Superior HealthPlan values your participation in our network of speech, physical and/or occupational therapy providers, and appreciates the therapy services you provide for our Membership. We are interested in improving our service management to further support you, while ensuring quality patient care.

Read more on Attention Therapy Providers…