For Providers
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Have You Seen the New, Upgraded Provider Portal?
You can now submit claim adjustments, view member gaps in coverage, and view Texas Health Steps exam dates! New features include an enhanced web authorization process and much more! To login or register click here!
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Long Term Service and Support Providers (LTSS) Rate Enhancement Methodology
Effective 3/1/2012, Superior will begin to reimburse Providers the Attendant Care Rate Enhanced payment at the same participation level as they are assigned by DADs (Levels 1 – 23). Superior will include the appropriate amount within the fee schedules for the codes included in the enhancement program (PAS & DAHS) to reflect the Providers participation…
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NICU Admissions
Effective February 1, 2012 Superior HealthPlan will review all NICU admissions delivered prior to 39 weeks to determine whether the delivery was elective or medically necessary. If elective, we will deny the delivering physician and the facility (for both the delivery and the NICU). We will not deny other Physicians (Anesthesisa,Neonatology) or other facilities (if…
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Superior Health Plan