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