Your session will end in 60 seconds. If you are a provider contracted with Superior, and have questions about prior authorizations, appeals or medications, please call Superior’s Pharmacy team. Non-contracted providers may use this form to express interest in joining the Superior network. Texas Health Steps is the Medicaid health-care program for children, teens and young adults, birth through age 20. After hours, on weekends and on holidays, you may be asked to leave a message. must be completed properly before submitting. "Confirm Member ID" must be completed properly before submitting. Many Superior members may need behavioral health services. Service Coordinators are available to help you coordinate your/your child’s medical and behavioral health care. To choose a doctor or Primary Care Provider (PCP), call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY:711). If you speak another language or need an interpreter, call Member Services for help. You will receive notice when necessary. Members enrolled in STAR, STAR+PLUS, STAR Kids, Medicaid RSA and STAR Health are eligible for this program. "Confirm Phone Number" must be completed properly before submitting. Hours are from 8 a.m. to 8 p.m., Monday through Friday. "Confirm Last Name" must be completed properly before submitting. "Confirm Street Address" must be completed properly before submitting. The Formulary, pharmacy network, and provider network may change at any time. "Confirm Form Completed By" must be completed properly before submitting. Please click the button to learn how to register. Corporate Office. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. "Confirm Practice / Clinic / Facility Name" must be completed properly before submitting. You are using an outdated browser. For general inquiries, authorizations, and order placement, you can contact us: 1 (877) 235-5317 Monday – Friday: 8AM to 9PM (ET) Saturday: 11AM to 4:30PM (ET) Select your state to contact an Ambetter representative in your service area. You can also call 24 hours a day, 7 days a week for questions or for help getting emergency behavioral health services. Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. It allows members to ask HHSC to review their case. The Contact Us form will send your message to Superior HealthPlan as an email. Clinician-Administered Drug Prior Authorization Requests, Out-Patient RX (Envolve Pharmacy Solutions), Prior Auth Requests Phone: 1-866-399-0928. They can visit you at home, talk to you on the phone or send you facts by mail. If you have questions or concerns about your health insurance coverage, we'd love to hear from you. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. An option from "Are you a:" must be checked before submitting. for STAR, STAR+PLUS, STAR Kids, STAR Health, CHIP, STAR+PLUS MMP, Allwell and Ambetter members and providers in Texas. "Confirm First Name" must be completed properly before submitting. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Other pharmacies/physicians/providers are available in our network. Please upgrade your browser to improve your experience. The Formulary, pharmacy network, and/or provider network may change at any time. You can call from 8 a.m. - 8 p.m., Monday through Friday. If you do not want to receive email responses, please let us know. Obtain an authorization number prior to providing services and/or materials to a covered member. Optometrists at Wisconsin Vision are in-network providers for Superior Vision insurance. Our staff speaks English and Spanish. Please complete the Network Participation Formand allow up to 30 days for evaluation and response of your inquiry. Provider Services: HMO: 1-844-796-6811, HMO SNP: 1-877-935-8023; (TTY: 711) From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us Monday – Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays. "Confirm Username" must be completed properly before submitting. To proceed with learning about available career opportunities within Versant Health, please click on the button below. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Superior Vision is a nationwide vision care company offering managed eye health and vision plans for … We are currently accepting inquiries for network participation for PCPs and many specialties. (October 1 – February 14), 8 a.m. – 8 p.m., Mon. Other pharmacies/physicians/providers are available in our network. You will receive notice when necessary. Need health insurance? – Fri. Our staff speaks English and Spanish. Effective November 1, 2017 behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. If you are aware of any false information submitted to SDC, please contact our Dentist and Member Services Team at 937.438.0283 or 800.762.3159 to report the activity. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative. Service Coordination is a special kind of care management. By communicating with Superior HealthPlan via email, you give consent to receive information from Superior, which may contain PHI, to your email address. "Confirm ZIP Code" must be completed properly before submitting. Free dental checkups starting at 6 months of age. Online Chat. A State Fair Hearing is for Superior members who disagree with an appeal decision made by Superior to deny a service. For specific details, please refer to the provider manual. Superior Member Advocates can help members get access to care. HMO: 1-844-796-6811; (TTY: 711) HMO SNP: 1-877-935-8023; (TTY: 711) If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. If you are a STAR, STAR Health, STAR Kids or STAR+PLUS member and you want to file a state fair hearing, call 1-877-398-9461. We accept Superior Vision for eye exams, glasses and contacts at all our locations. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. Message SDC. Please contact the plan for further details. If you have an emergency or crisis, call 9-1-1 or visit the nearest hospital or emergency room. "To better meet your needs, please comment below and describe how we can help you." Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). You will receive notice when necessary. You must continue to pay your Medicare Part B premium. Texas Health Steps gives your child: Read more about this program on the Texas Health Steps website or call Member Services at the phone numbers listed below. Members of Superior HealthPlan can talk to a nurse 24 hours a day, 7 days a week through Superior’s nurse advice line. superior vision, customer service, superior service, superior vision hours, customer service hours Tell Us Who You Are * Select Option I am a Member I am a Provider I am a Benefit Manager I am a Health Plan Representative I am a Broker Other If you are a provider and need to reach an Account Manager in your region, call the phone number below that is specific to your area, or visit the Find My Account Manager webpage. You will need Adobe Reader to open PDFs on this site. Contact. "Confirm Email Address" must be completed properly before submitting. "Confirm Tax Identification Number (TIN)" must be completed properly before submitting. Superior does not accept responsibility or liability for any loss or damage arising from the use of email. This consent is not required. Texas Health and Human Services Commission (HHSC), Texas Ombudsman Managed Care Assistance Team. Need health insurance? First, call Superior Vision Customer Service at (800) 507-3800 and get an authorization number / eligibility number. Ok Simply call Superior Member Services. You can also create an account on the Superior member portal. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). Provider Registration Video Provider Registration PDF Need health insurance? If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Contact the plan for more information. Required fields are marked with an asterisk (*) Please let us know if you are: *. If preferred, a written complaint may be mailed to: Superior Dental Care Alliance Inc., Special Investigating Unit, 6683 Centerville Business Parkway, Centerville, OH 45459. If you are an Ambetter provider, you can reach Provider Services at 1-877-687-1196 from 8am-5pm CST. Superior Provider Services LLC is a Texas Domestic Limited-Liability Company (Llc) filed on June 27, 2012. Limitations, copayments, and restrictions may apply. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. They will help Medicaid and CHIP members find community resources, resolve problems and file complaints. If you are an Ambetter member you can reach us 24/7 through your online member account . Learn More. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Superior HealthPlan serves members in all 254 counties across Texas. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. Download the free version of Adobe Reader. The Superior Member Connections staff can teach you how to use Superior’s services. Ambetter from Superior HealthPlan. If you speak another language or need an interpreter, call Member Services for help. 8 a.m. – 8 p.m., 7 days a week The email is not encrypted and is not transmitted in a secured format. (February 15 – September 30). Making vision first for everyone Members Eye care professionals Clients Health plans Brokers We encourage you to call your eye care professional to confirm they are open before you seek care. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Limitations, copayments, and restrictions may apply. 937.438.0283. Medical Provider Behavioral Provider Dental Provider Vision Provider Foster Care Member, Medical Consenter, Foster Parent, DFPS Staff, RTC/CPA Staff, CASA Staff, SSCC For STAR Health, Allwell from Superior HealthPlan and Ambetter from Superior HealthPlan, office hours are from 8 a.m. to 6 p.m. (Central Time), Monday through Friday. Should you wish to receive a state or health plan specific network access plan, please contact Superior Vision provider relations, at 1 (800) 879-6901. If you a have a general comment or question, please fill out the form below. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Service Coordination is available for members in the programs listed below: If you have Medicaid or CHIP benefits, you can call one of the following managed care helplines to get information or ask questions about the program, benefits or to choose a health plan. Communication via email is not as secure as communicating via our secure member portal. "Confirm National Provider Identification (NPI) Number" must be completed properly before submitting. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. You do not need a referral from your doctor to get these services. 6683 Centerville Business Pkwy. Below is a list of Superior office locations and phone numbers in Texas. Access Envolve Health member and provider portals to gain access to plan-specific resources for Envolve Vision, Dental, Pharmacy, Behavioral Health and … You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Every year, Medicare evaluates plans based on a 5-star rating system. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information. Learn More. Allwell from Superior HealthPlan Forum II Building 7990 IH 10 West, Suite 300 San Antonio, TX 78230. During normal business hours, you can call to schedule an appointment or learn more about these services. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. You can call the 24-hour nurse advice line to get answers to health questions. "Confirm City" must be completed properly before submitting. For help with benefits and services, members should continue to call Superior Member Services. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. Yes. Fax: 937.291.8695. Superior HealthPlan operates a toll-free nurse hotline that providers and members can call 24-hours-a-day, 7 days a week. To enroll with Superior, call 1-800-964-2777. Or, call us at 1-877-687-1196 ( Relay Texas/TTY 1-800-735-2989 ). How to Register. On the member portal, you can: If you are a member of the media, please send your questions to [email protected] Second, see your eye care professional and pay for your examination and/or materials. Our staff speaks English and Spanish. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Click Ok below or press Enter on your keyboard to continue your session. Download the free version of Adobe Reader. 1-877-687-1196. By communicating with Superior through email, you accept the risks associated thereof. They can help you with things like how to pick a doctor, transportation services and how to use Superior services. We’re making healthy vision a priority for all. Contact the plan for more information. For more information, call a Superior Member Advocate in your area. The Formulary, pharmacy network, and provider network may change at any time. These services include mental health or substance abuse (alcohol and drug) treatment. A member must file for a State Fair Hearing within 120 days of the date of the Superior notice denying their appeal. A Case Manager who can find out what services your child needs and where to get these services. Learn More. Please insert the authorization number in Box Please note: Wraparound training is a requirement for Mental Health (MH) Targeted Case Management (TCM) providers to provid… "Confirm Organization" must be completed properly before submitting. Free regular medical checkups starting at birth. • Abide by Superior Vision’s PPO/DP Provider Agreement and fee schedule terms and conditions • Contact Superior Vision Services to verify eligibility and benefits. Other pharmacies/physicians/providers are available in our network. Just call the phone number listed below to learn more. Our registration process is quick and simple. Superior Vision is a product offering from Versant Health, a company forged from the experience of two leading vision care plans. If you want to apply for Medicaid, call 2-1-1 or visit www.YourTexasBenefits.com. Superior wants to make sure members get the care and support they need. You must continue to pay your Medicare Part B premium. They can help you/your child develop a service plan, help make sure you get services on time and identify your/your child’s needs. Simply call Superior Member Services. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. The Registered Agent on file for this company is Erika Lorena Longoria and is located at 817 N. Ware Rd., Suite 10, Mcallen, TX 78501. Centerville, Ohio 45459. Other pharmacies/physicians/providers are available in our network. If you speak another language or need an interpreter, call Member Services for help. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). 800.762.3159. Details: Ambetter Sunshine Health Member and Provider Services Phone Number: 877-687-1169: Ambetter from Superior HealthPlan - Texas: 68069: 5900 E. Ben White Blvd. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information. You will need Adobe Reader to open PDFs on this site. The company's filing status is listed as Forfeited Existence and its File Number is 0801617562. Experience of two leading Vision care plans responsibility or liability for any loss or damage from! Medical and behavioral superior provider phone number functions transitioned from Cenpatico ( a subsidiary of Envolve PeopleCare ) to Superior serves... Joining the Superior network an account on the Superior network Member you can call 8... 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