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REQUIRED: Is Your Practice Information Accurate?

Date: 01/15/26

Having access to accurate provider information is critically important to Superior HealthPlan members. To ensure there is no impact on a member’s treatment, providers are required to have their contact information up-to-date and encouraged to provide their demographic information. NCQA-accredited/certified organizations must comply with all applicable federal and state civil rights laws that prohibit discrimination based on race, color, national origin (including limited English proficiency and primary language), age, disability, or sex, and make decisions in a nondiscriminatory manner. Providing race, ethnicity, or language information is optional. There are no penalties if this information is not provided and if disclosed, will not be used for discriminatory purposes during contracting or credentialing processes.

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 of both Provider and Office Staff

If a provider decides to leave the Superior network, they must also notify Superior as soon as possible. Specific notification timeframes can be found in the provider’s contract or by contacting their local Provider Representative. To access their contact information, visit Find My Provider Representative. 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: