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REQUIRED: Is Your Information Accurate?

Date: 01/27/25

Having access to accurate provider information is critically important to Superior HealthPlan members. To ensure there are no impacts to a member’s treatment, providers are required to have their contact and demographic information up to date. Providers should notify Superior of any changes (ex. address or telephone number updates), if they can no longer accept new patients or are leaving the network. Provider updates can include, but are not limited to, the following information through Superior’s Secure Provider Portal:

  • Office Address
  • Panel Limitations
  • Texas Health Steps Status
  • Oral Evaluation and Fluoride Varnish (OEFV) Status
  • Spoken Languages

If a provider decides to leave the Superior network, they must notify Superior as soon as possible. Specific notification timeframes can be found in the provider’s contract or by contacting their local Account Manager. To access their contact information, visit Find My Account Manager. All termination requests must be received in writing and include the provider’s Tax Identification Number (TIN), National Provider Identifier (NPI), termination date and reason for the termination. 

For more information, please review the provider manuals found on Superior’s Training and Manuals webpage, or call Provider Services at:

  • 1-877-391-5921 (STAR, STAR Health, STAR Kids, STAR+PLUS, CHIP, Wellcare By Allwell [HMO and HMO DSNP] and STAR+PLUS MMP)
  • 1-877-687-1196 (Ambetter from Superior HealthPlan)