Ambetter from Superior Health Plan Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage + optional dental coverage for subscribers Provider Services for Ambetter 833-260-3625 Members: call the number on the back of your ID card or go to the plan site. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. All rights reserved. The Ambetter from Peach State Health Plan login portal is where you manage your account. National Imaging Associates (NIA)resources have moved. Theyve always been able to count on you. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Youre dedicated to your patients, so were dedicated to you. You can do a lot inside your Member Portal. Yes. Interested in becoming an Ambetter provider? Links to specific provider resources can be found by using the left navigation bar to access provider webpages or clicking the links within the sections below. Please select Member in the dropdown menu to log in to or create your secure online member account. Or choose Go on to move forward. What is Ambetter? At the end of the day, our job is to make yours easier. Plus, its no cost for members. Next year, Ambetter from Superior HealthPlan will be offered to Texas residents in seven additional counties, making the program available in 145 counties in the state through the Health Insurance Marketplace. Join Ambetter show Join Ambetter menu For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. Find and enroll in a plan that's right for you. 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. Healthcare designed for you. Or use your Aetna Better Healthapp to take your benefits on the go. I understand that my information will be used in accordance with my plan notice of privacy practices. Ambetter from Arizona Complete Health can help. All rights reserved. Just download the app from the AppleApp Store or the Google Playstore. You can access a digital copy of your Member ID anytime by logging in to your online member account. Discover all the ways you can manage your coverage. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Use your ZIP Code to find your personal plan. Use our tool to see if a pre-authorization is needed. Your Ambetter online member account puts you in control of your health plan. Find everything you need in the member online account. Discover all the ways you can manage your coverage. You can also ask for info on health conditions and wellness topics in print. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. You have many convenient ways to make your payment. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. What is Ambetter? Your Ambetter coverage includes no-cost in-network Telehealth services. You will need Adobe Reader to open PDFs on this site. Copyright 2023 Celtic Insurance Company. Use your ZIP Code to find your personal plan. You cansign uponlineorcontact us. You're dedicated to your patients, so we're dedicated to you. Manage Batch Claims for Free. Get coaching on funnew ways to improve yourhealth. Find everything you need in the member online account. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for you. And as a partner with Ambetter, youll be able to count on us. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Contact Us for more information. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. You can do so much more with your health plan when you create an account in your Member Portal. Login Log in Forgot your password? You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. You will need Adobe Reader to open PDFs on this site. Or choose Go on tomove forward to Aetna.com. Use your ZIP Code to find your personal plan. show Join Ambetter from AZ Complete Health menu. Copyright 2023 Celtic Insurance Company. Use your ZIP Code to find your personal plan. Use our helpful resources to deliver the best quality of care. Give us a call if you have any questions as you shop and explore . Make your first payment to access great benefits. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. 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, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP, Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies, Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville, Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success, Provider Notice of Adverse Benefit Determinations, Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnerships (TMHP) Eligibility Verification Issues. Copyright 2023 Centene Corporation. Non-discrimination notice and language assistance. Another group or vendor provides the info on the next page. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. All rights reserved. View detailed Electronic Funds Transfer (EFT) payment history. Loading Ready to learn more? If you are a Medical Professional or Behavioral Provider, please select the appropriate option in the dropdown menu and log in to or register for your secure portal. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Superior HealthPlan equips each of our providers with the most up-to-date resources available for Texas Medicaid (STAR, STAR+PLUS, STAR Kids, STAR Health), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Medicare (Wellcare By Allwell) and Health Insurance Marketplace (Ambetter from Superior HealthPlan). Find and enroll in a plan that's right for you. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Aetna Better Health provides the general info on the next page. Ambetter Health has your back every step of the way on your personal health and wellness journey. The app lets you access all the benefits of your Member Portal anytime, anywhere. Links to specific provider resources can be found by using the left navigation bar to access provider webpages or clicking the links within the sections below. Ambetter. Review clinical and payment policy information. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Reminder: Email field is generally your email address plus .centene (Example johndoe@gmail.com.centene) Contact Us Privacy Policy Usage Agreement Copyright 2020 Centene Corporation. Your area isn't covered? What you need to know about the Coronavirus. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Find and enroll in a plan that's right for you. It has info for health care providers. 1 Marketplace insurer*, Ambetter from Superior HealthPlan has the experience and resources to help people when it matters most, and were proud to provide reliable coverage to more people throughout Texas.. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Have your tax ID number ready during sign up. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. You can get answers to medical questions and care advice even prescriptions. https://provider.sunshinestatehealth.com/. You can call 1-855-231-3716to ask for a printed copy of the health survey. Your Ambetter online member account puts you in control of your health plan. Then, you can: See your member ID card or ask for a new one Change your primary care physician (PCP) Update your contact info Find forms and materials See your health history Track your health goals Access your secure provider information any time. What you need to know about the Coronavirus. All Rights Reserved. Access Daily Patient Lists from One Screen. Visit Provider.ambettermeridian.com and click Create an Account. Join Ambetter show Join Ambetter menu Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Use your ZIP Code to find your personal plan. This includes Ambetter Value, a new specialized plan aligned witha select group of primary care providers, which can help guide and steer a members utilization through a referral process. See what vision and dental coverage is available for you. Check out health resources, send us questions and more. You will need Adobe Reader to open PDFs on this site. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. . Find and enroll in a plan that's right for you. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Simply call Superior Member Services. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. You will need Adobe Reader to open PDFs on this site. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction withfindings from 2019 Issuer Level Enrollment Data from CMS,2019 State-Level Public Use File from CMS,2019 Covered California ActiveMember Profile data,state insurance regulatory filings, and public financial filings. Contact Us for more information. Explore STAR Kids benefits and added services, Explore CHIP and CHIP Perinatal benefits and added services, STAR (Medicaid) Member Handbook - English (PDF), STAR (Medicaid) Member Handbook - Spanish (PDF), STAR Kids Member Handbook - English (PDF), STAR Kids Member Handbook - Spanish (PDF), CHIP and CHIP Perinatal Member Handbook - English (PDF), CHIP and CHIP Perinatal Member Handbook - Spanish (PDF), Seeyour member ID cardor ask for a newone, Connect with your care team if you take part in care management. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. The COVID-19 pandemic emphasized that affordable and comprehensive health insurance is needed more than ever, said Mark Sanders, President and CEO of Superior HealthPlan. Check Now Provider Resources Connect your fitness devices and track yourprogress. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Contact Us for more information. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Just log in to manage your plan benefits and health goals from anywhere. Ambetter offers a variety of plans for all budgets and needs. They've always been able to count on you. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. That way, you can focus on your patients. Use your ZIP Code to find your personal plan. Contact Ambetter from Meridian at 1-833-993-2426 Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Earn rewards for taking charge of your health. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Theyve always been able to count on you. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Contact Ambetter from Meridian at 1-833-993-2426. Login to Your Account Access your secure provider information any time. Pay now to activate the health benefits you deserve. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Copyright 2023 Centene Corporation. As part of the nations No. Medicaid for children, newborns, pregnant women and some families, Medicaid for children and adults 20 or younger who have disabilities, A program for families and mother-to-be that dont qualify for Medicaid. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. Download the free version of Adobe Reader. Don't miss out on your affordable health plan! Ambetter from Meridian is underwritten by Meridian Health Plan of Michigan, Inc. Additional Features to Streamline Office Operations, Secure messaging between provider & Ambetter from Meridian. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. And, as a partner with Ambetter, youll be able to count on us. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Provider Reminders: Claims Definitions. Ambetter Washington Login | Manage Your Plan Online Please select Member in the dropdown menu to log in to or create your secure online member account. Login Welcome to the Login page. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Find everything you need in the member online account. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). That way, you can focus on your patients. Update provider demographics. Visibility of Multiple TINs. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Regardless of plan, Ambetter from Superior HealthPlan provides a variety of additional services and benefits to help members get the most out of their coverage: Superior HealthPlan has been serving Texas since 1999 and currently serves more than 1.7 million people across its Medicaid, CHIP, Medicare and Ambetter plans. Infographic Description. You will need Adobe Reader to open PDFs on this site. Texas residents interested in learning more about Ambetter from Superior HealthPlan or enrolling in a health plan during the open enrollment period may visit https://ambetter.superiorhealthplan.com/. **Restrictions apply. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The Adjusted Fee column displays the fee with all of the percentage reductions applied. Learn More. Use the tabs or the previous and next buttons to change the displayed slide. Healthcare is essential. All rights reserved. You will need Adobe Reader to open PDFs on this site. Please visitSuperior's QI Program. Copyright 2023 Arizona Complete Health. Stay up to date with the latest news and announcements. No problem. Submit and manage claims, including batch files, for free. Or choose Go on to move forward to the provider website. All rights reserved. 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. Use your member account anytime to conveniently do things like: If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up today. If you dont want to leave our site, choose the X in the upper right corner to close this message. Make your first payment to access great benefits. Join Ambetter show Join Ambetter menu Were here foryouMonday through Friday, 8 AM to 5 PM. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Theyve always been able to count on you. View patient demographics & history. Be sure to have your member ID and email addresshandy. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Visit https://member.ambetterhealth.com for more details. All Rights Reserved. 11/15/21. Just log in. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Or choose Go on to move forward to the main Aetna Medicaid website. For Providers show For Providers menu. Youre dedicated to your patients, so were dedicated to you. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Copyright 2023 Celtic Insurance Company. See coverage in your area Find doctors and hospitals View pharmacy program benefits View essential health benefits Find and enroll in a plan that's right for you. And you can access Telehealth on your computer or smart phone anywhere and anytime. Manage patient administrative tasks quickly and easily. You can access your plan information and pay your premium. And, as a partner with Ambetter, youll be able to count on us. Newsroom. Here are the ways our provider community can contact us: For general and routine questions or concerns, please contact customer service at: For general and routine questions, please use the provider portal secure messaging feature. Next year, Ambetter from Superior HealthPlan will be offered to Texas residents in seven additional counties, making the program available in 145 counties in the state through the Health Insurance Marketplace. Billing Resources Electronic Visit Verification (EVV) Setting up your online member account is easier than ever it only takes a few minutes. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! 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. Visit Provider.ambettermeridian.com and click Create an Account. Log in today to find the care option thats right for you. Youre going to the provider website. Access your digital ID card and download it to your smart phone or print it, Choose or change your Primary Care Physician (PCP), Get what you need to manage your coverage. Join Ambetter show Join Ambetter menu Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Please select your state. Your Texas Benefitsprovidesthe info on the next page. Take care of you and your baby with our maternity health programs. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. There, you can view your digital ID, download it to your smartphone, or print a copy. If you dont want to leave our site, choose the X in the upper right corner to close this message. Protected, Convenient Access at Your Fingertips. Aetnaprovides infoabout COVID-19on the next page. Copyright 2022 Aetna Better Health of Texas. Your area isn't covered? We would love to hear from you! All rights reserved. Youre dedicated to your patients, so were dedicated to you. Secure messaging between provider & Ambetter from Magnolia Health. Use your ZIP Code to find your personal plan. Because protecting peoples health is why were here, and its what well always do. Quality Improvement resources have moved. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. That way, you can focus on your patients. Questions? Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. A flu shot protects you and those you love. Use your ZIP Code to find your personal plan. Your Ambetter online member account puts you in control of your health plan. For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. Please select Member in the dropdown menu to log in to or create your secure online member account. Members must qualify for and complete all activities to receive $500 or more.

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