Updating Provider Demographic Information
Having access to accurate provider information is vitally important to Superior members. To ensure a member’s health is not compromised, 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. Providers can update 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
In addition to updating information with Superior, providers must also update their demographics with Texas Medicaid & Healthcare Partnership (TMHP). To update demographic information in the TMHP Provider Information Management System (PIMS), please visit the TMHP Medicaid Providers homepage. For more information on using the PIMS, please reference the TMHP PIMS User Guide (PDF).
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. 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.
Superior is committed to improving continuity of care to ensure that all members have uninterrupted access to health-care services, which is associated with patient satisfaction, better health-care services and lower hospital utilization.
For more information, please review the Superior Provider Manuals found on the Training and Manuals webpage, or call Provider Services at:
- 1-877-391-5921 (STAR, STAR Health, STAR Kids, STAR+PLUS, CHIP, Allwell from Superior HealthPlan and Superior STAR+PLUS Medicare-Medicaid Plan [MMP])
- 1-877-687-1196 (Ambetter from Superior HealthPlan)