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. Registration Video. Registration Video. Use our helpful resources to deliver the best quality of care. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! Ambetter from Superior HealthPlan offers quality, affordable health insurance plans in Texas that fit your needs and budget. Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. Create An Account. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routine needs. Learn more or join our network! Download the free version of Adobe Reader. Member Login. Apply on the Texas Marketplace today! With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. At the end of the day, our job is to make yours easier. Ambetter from Superior HealthPlan provides the tools and support you need to deliver the best quality of care. File claims electronically and directly to Superior HealthPlan with no clearing house fees. Search. However, this does NOT guarantee payment. Simply call Superior Member Services. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! All rights reserved. Enter Keyword Search. Our secure portal allows you to submit your claims quickly and easily online as well as request copies of your Explanation of Payment (EOP). You’re dedicated to your patients, so we’re dedicated to you. Login. Our registration process is quick and simple. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. You will need Adobe Reader to open PDFs on this site. What you need to know about the Coronavirus. Click Ok below or press Enter on your keyboard to continue your session. What you need to know about the Coronavirus. Apply on the Texas Marketplace today! That way, you can focus on your patients. Interested in becoming an Ambetter provider? *In addition to updating information with Superior, providers must also update their demographics with Texas Medicaid & Healthcare Partnership (TMHP). © Copyright 2020 Celtic Insurance Company. Your session will end in 60 seconds. Need To Create An Account? For specific details, please refer to the provider manual. *. Sign Up Now. Click Ok below or press Enter on your keyboard to continue your session. Stay up to date with the latest news and announcements. Find and enroll in a plan that's right for you. Ambetter from Superior HealthPlan 1-877-687-1196. Enroll Now. For more information please review the Secure Provider Portal Booklet (PDF). For specific details, please refer to the provider manual. To update demographic information in the TMHP Provider Information Management System (PIMS), please visit the TMHP Medicaid Providers homepage. Ok Login. For more information on using the PIMS, please reference the TMHP PIMS User Guide (PDF). Need To Create An Account? Access your secure provider information any time. Login. How to Register. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! Ok 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. Ambetter from Superior HealthPlan 1-877-687-1196 Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. Review clinical and payment policy information. What to Expect When You … Ambetter network providers are important to us, because our members rely on you for quality care. Use our tool to see if a pre-authorization is needed. Registration is fast and simple, give it a try. They’ve always been able to count on you. With Ambetter from Superior HealthPlan it's easy to take charge of your health. 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, TX.WebApplications@superiorhealthplan.com, Update provider demographic information. How To Register. If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Find everything you need in the member online account. Provider Registration Video Provider Registration PDF Enroll Now. Pay Now; Need Help? Registration is fast and simple, give it a try. Click Here to Contact Your Account Manager Contact Provider Services: Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. Enroll Now. Forgot Password / Unlock Account | Para Español. As an Ambetter network provider, you can rely on the services and support you need to deliver the highest quality of patient care. For support while using the web portal, please call 1-866-895-8443 or email TX.WebApplications@superiorhealthplan.com. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. Use your ZIP Code to find your personal plan. Member; Provider; Broker; Pay Now; Need Help? For Providers Login Join Our Network Pharmacy Provider Resources Pre-Auth Check ... Finding a Provider in the Ambetter Network. Create An Account . Learn more about our health insurance resources for providers. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Our electronic transactions capabilities will speed up the processing and payment of your claims. User Name ( Email ) Password. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routine needs. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. Learn more. Providers who partner with Ambetter from Superior HealthPlan benefit from years of healthcare experience & valuable resources. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. Member; Provider; Broker; ES Español En Español. With Ambetter from Superior HealthPlan it's easy to take charge of your health. How To Register. Date: 06/01/20. View our Preferred Drug List to see what drugs are covered. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. We’re dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Contact Provider Services: Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. A A A. Your session will end in 60 seconds. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. Members & Providers - Log into your Ambetter from Sunshine Health account today! Learn More. Ambetter from Superior HealthPlan offers quality, affordable health insurance plans in Texas that fit your needs and budget. And, as a partner with Ambetter, you’ll be able to count on us. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. You will need Adobe Reader to open PDFs on this site. Please click the button to learn how to register. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. Ambetter from Superior HealthPlan: 1-877-687-1196: STAR, STAR MRSA, STAR+PLUS, CHIP, CHIP RSA, STAR Kids, Allwell from Superior HealthPlan (HMO and HMO SNP), STAR+PLUS MMP : 1-877-391-5921: STAR Health: 1-877-391-5921: For help filing a provider complaint or to check on the status of a provider complaint, providers may email TexasProviderComplaints@centene.com. Skip to Main Content.