Use your ZIP Code to find your personal plan. To choose a doctor or Primary Care Provider (PCP) To choose a doctor or Primary Care Provider (PCP), call Ambetter from Superior HealthPlan Member Services. Dear Ambetter Provider, Thank you for your continued partnership with Ambetter from Sunflower Health Plan. It includes details like provider specialties, providers accepting new patients, languages spoken, office hours, contact information and directions to the provider’s location. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - … You will need Adobe Reader to open PDFs on this site. When you join the Ambetter from Arizona Complete Health provider network, you benefit from our years of experience and free resources for our providers. Beginning January 1, 2020, Washington state law protects you from balance billing if you receive emergency services from out-of-network hospitals or providers in Washington, Oregon and Idaho. See all Primary Care Physician office locations in Houston that accept Ambetter from Superior HealthPlan MRF and doctor ratings. Superior Ambetter Family Doctors in Cibolo, TX. The Ambetter from Superior HealthPlan network includes all provider types to support your health care benefits, including local providers and pharmacies that you know and trust. Members can view plan benefits check rewards balances, and more. Tools for providers also available. Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. Centene Corporation offers healthcare solutions in Connecticut. Date: 06/01/20. Find and enroll in a plan that's right for you. Find a Family Physician who accepts Ambetter from Superior HealthPlan MRF near you in Dallas, TX. Learn … All rights reserved. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routine needs. Ambetter contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms. Providers, including hospitals, pharmacies, medical equipment companies, etc. Use this step-by-step guide (PDF) to search for Ambetter providers in your area. With Ambetter it's easy to take charge of your health. Medical Provider Behavioral Provider Dental Provider Vision Provider Foster Care Member, Medical Consenter, Foster Parent, DFPS Staff, RTC/CPA Staff, CASA Staff, SSCC We understand that you may have recently been impacted by an increased volume of rejected claims. You can also contact Ambetter Member Services through the Online Member Portal, by email at SHPMSCONTACTUS@CENTENE.COM or by calling 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989) from 8 a.m. to 8 p.m. CT, Monday through Friday. For Providers. They can also help you get a provider's: You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. Right Here. © Copyright 2021 Celtic Insurance Company. Assessment of facilities such as hospitals, to ensure they are appropriately licensed and accredited. Texas Department of Insurance 333 Guadalupe, Austin TX 78701 | P.O. Access all Ambetter provider resources. All rights reserved. The Tools You Need To Manage Your Health. Enter Keyword Search. 2. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Usted está dedicado a sus pacientes, así que nosotros estamos dedicados a usted. Use our tools below to search for doctors or pharmacies in Arizona or anywhere in the U.S. that is part of your coverage network. See all Family Physician office locations in Dallas that accept Ambetter from Superior … For specific details, please refer to the provider manual. We always work to provide the highest levels of service to all of our provider partners. Search for doctors, hospitals, and specialists near you. Contact Provider Services: Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. Finding a Provider in the Ambetter Network Date: 06/01/20 The Ambetter from Superior HealthPlan network includes all provider types to support your health care benefits, including local providers and pharmacies that you know and trust. If you are a STAR Kids or STAR+PLUS member and are dual eligible, Medicare pays your doctor. The Tools You Need Now! Use Ambetter’s Find a Provider tool to search the full list of providers available in the Ambetter network. Starting January 1, 2020, the Ambetter fee schedule name will change from Payor Medicare Fee Schedule to Payor Fee Schedule . The ability of practitioners to meet our credentialing criteria, including a valid license to practice, applicable education and training, appropriate work history, etc. The Ambetter Secure Provider Portal found at: Ambetter.SuperiorHealthPlan.com. Find a Primary Care Physician who accepts Ambetter from Superior HealthPlan MRF near you in Houston, TX. Browse our extensive directory of the best Ambetter Therapists, Ambetter Psychologists and Ambetter Counselors near you. © Copyright 2021 Celtic Insurance Company. Con Ambetter, usted puede confiar en los servicios y el apoyo que necesita para dar atención de la mejor calidad a sus pacientes. They can give you the name, address and phone number of a doctor or specialist. Providers who partner with Ambetter from Superior HealthPlan benefit from years of healthcare experience & valuable resources. Request a current non-electronic (paper) listing of all Ambetter in-network providers at no cost. 3. Ambetter from Superior HealthPlan 1-877-687-1196 That means you do not need to choose a … Monitoring of the quality of care and service provided by individual practitioners and providers, which includes complaints from members and patient safety concerns. Find a Provider With Ambetter from Arizona Complete Health, you have a wide network of primary care physicians, specialists, hospitals and outpatient facilities to choose from. Our health insurance plans are designed to improve the health of the community. As an Ambetter provider in Kansas, you can rely on supportive services and Ambetter provider resources to give the best possible care to our members. The availability of certain types of practitioners or hospitals in your area. ... Search. Learn more or join our network! We want you to be and stay healthy! If you have questions or concerns about your health insurance coverage, we'd love to hear from you. Don’t delay, choose an Ambetter plan today – before Open Enrollment ends May 15. Keep our premiums affordable and lowering costs for members, Focus on making providers available who have a history of better healthcare outcomes, And more (refer to your Evidence of Coverage (EOC) for the full list of benefits). Ambetter contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms. • If you are already a registered user of the Superior Secure Portal, you do not need a separate registration. As an Ambetter from Sunshine Health in-network provider, you can help deliver high-quality care to our members. Browse 20 Family Doctors near Cibolo, TX who accept Superior Ambetter insurance below — sort by distance, name, gender, online appointments, accepted insurance and more. They can give you the name, address and phone number of a doctor or specialist. Learn more at Ambetter from Sunflower Health Plan. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Member Services can help you: Find a provider in the Ambetter network today. We regularly review the provider network and make decisions about which providers remain in the network and if additional providers are needed, based on relevant factors that could include: These include: To accomplish these goals, Ambetter contracts with a full range of practitioners and providers such as: Ambetter makes sure practitioners and providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes to ensure you receive quality care in a timely manner. Log into your Ambetter from Superior HealthPlan account. Our site has been designed to help you get your job done. Specialty physicians, such as cardiologists, neurologists, etc. 1. As an Ambetter network provider, you can rely on the services and support you need to deliver the highest quality of patient care. We regularly review the provider network and make decisions about which providers remain in the network and if additional providers are needed, based on relevant factors that could include: Ambetter does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select the practitioners and facilities in the network. Apply on the Texas Marketplace today! If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Use this step-by-step guide (PDF) to search for Ambetter providers in your area. Learn more about our health insurance resources for providers. Select your state to contact an Ambetter representative in your service area. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. See our resources for providers. Manage all products with ease in one location You’re dedicated to your patients, so we’re dedicated to you. Ambetter from Superior HealthPlan (Marketplace) appreciates your partnership as we achieve our shared goal of delivering quality, accessible and affordable healthcare to our members. Ambetter offers affordable health insurance plans through the Health Insurance Marketplace. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677 Ambetter from Superior HealthPlan offers quality, affordable health insurance plans in Texas that fit your needs and budget. Our easy to use secure site gives you access to your health information anytime. Find everything you need in the member online account. Everything You Need. Use Ambetter’s Find a Provider tool to search the full list of providers available in the Ambetter network. Medicare Eligibility Requirements | Ambetter from Superior HealthPlan, Health Insurance Marketplace Benefits | Ambetter from Superior HealthPlan, Health Insurance Provider Support | Ambetter from Superior HealthPlan, Coronavirus Information | Ambetter from Superior HealthPlan. 24/7 Interactive Voice Response system • Enter the Member ID Number and the month of service to check eligibility. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. To choose a doctor or Primary Care Provider (PCP), call Ambetter from Superior HealthPlan Member Services. We provide top-quality health insurance to fit your needs and budget. Buy health insurance today. To find out which nursing facilities are in Superior's network, you can call us at 1-877-277-9772 or search our Find a Provider online tool. ... Texas Provider Resources | Ambetter from Superior HealthPlan . Cuando se asocia con nosotros, se beneficia de años de experiencia y conocimiento valiosos en la industria de la atención de la salud. The Allwell Provider and Pharmacy Directory is a list of Primary Care Providers (PCPs), physicians, hospitals, drug stores, and other healthcare providers that are available to you. Ambetter strives to provide access to a quality healthcare network with the goals: The Ambetter network includes healthcare providers to deliver all of the services that the Affordable Care Act describes as Essential Health Benefits.

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