*In addition to updating information with Superior, providers must also update their demographics with Texas Medicaid & Healthcare Partnership (TMHP). You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Submit claims and check claims status (required), Enroll for electronic funds transfer (EFT) (required), Submit medical pre-authorization requests using the Electronic Authorization Tool, Obtain an estimate of patient costs for professional medical and dental services, Access reimbursement schedules and other pricing documents, View the status of all credentialing processes, Provider assigns Primary Access Administrator (PAA) or PAA Assistant access to the billing service manager, The billing service registers with Availity Essentials for the provider(s) they submit claims for, Clicking the Help & Training link in the Availity portal menu, Calling Availity Client Services: 1 (800) AVAILITY or 1 (800) 282-4548, Creating an eTicket or starting an online chat: Availity Essentials: Help & Training>Availity Support>Contact Support. Download the free version of Adobe Reader. show Supporting Texas Communities submenu, 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, TX.WebApplications@superiorhealthplan.com, Update provider demographic information. Through ConnectiCares website, you will have access to ConnectiCares: See how EmblemHealth and its companies are addressing social issues that affect medical outcomes.
If you use a billing service to submit medical or dental claims or collect payments on your behalf, you can choose from two registration options: Register as a Provider and assign access (this is the easiest and fastest way to register): The billing service adds their staff as users. Medicaid, HARP, and CHPlus (State-Sponsored Programs), Manage your secure informationwith confidence. You will need Adobe Reader to open PDFs on this site.
The Bridge Program gives members access to a combination of our existing EmblemHealth Insurance Company's Prime Network, EmblemHealth Plan, Inc.'s National Network, ConnectiCare, Inc.'s Choice Network, as well as QualCares and FirstHealths networks. With secure, convenient access to the EmblemHealth provider portal, you can: As a leader in value-based care, we believe health care is about quality, not quantity. 
Access clinical information, quick reference guides, forms, documents, and more. Effective 6/1/2022, use CS modifier on all services related to COVID testing. Find resources, documents, and additional support to provide the best patient care. If you're a broker, you can work with your account management team to register for an account. For assistance with password resets, change requests and technical issues, call1-800-721-0627 / TTY 7117 a.m. 10 p.m. CST, 7 days a week. For assistance with password resets, change requests and technical issues, please call the number on your member ID card. For more information please review the Secure Provider Portal Booklet (PDF). All Rights Reserved. Find help, training or outage information by: Availity is a separate and independent company that provides secure access to eligibility, benefits and claims-related information for Regence members. EmblemHealths Bridge Program Is Growing! 2020 EmblemHealth. Sign in to compete the following tasks and more. Billing service registers and the provider signs agreement: Availity Essentials sends an agreement to the provider to sign and return. For more information on using the PIMS, please reference theTMHP PIMS User Guide (PDF). AARP Medicare and UnitedHealthcare Medicare members. When you sign in to your health plan account, youll find easier ways to view and manage the details of your plan. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routine needs. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. UnitedHealthcare Group Medicare (Group Retiree) members. To update demographic information in the TMHP Provider Information Management System (PIMS), please visit theTMHP Medicaid Providers homepage. Simply call Superior Member Services. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. See what you need to know for 2022, what you may have missed in 2021, including regulatory requirements, attestations, and training needed for continued participation. Get up-to-date information on pharmacy benefits services and prescription drug coverage. Any information provided on this Website is for informational purposes only. Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. For assistance with password resets, change requests and technical issues, call 1-877-844-4999 / TTY 711 all day, every day. 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. ConnectiCare, based in Connecticut, is a subsidiary of EmblemHealth. If you have any concerns about your health, please contact your health care provider's office. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Sign in to Employer eServices for easy-to-use benefits management tools, including: Employer groups are automatically registered for an account when your plan is activated. Set up your account and use your personalized member site to find network doctors, estimate costs, view and pay claims and more. Our secure portal allows you to submit your claims quickly and easily online as well as request copies of your Explanation of Payment (EOP). *. Sign in to access United eServices, a comprehensive resource center for brokers that includes: Sign in for quotes on UnitedHealthcare plans for individuals, including: Sign in for information and service that gives Medicare agents access to: For people 65+ or those who qualify due to a disability or special situation, For people who qualify for both Medicaid and Medicare, Individual & family plans short term, dental & more, Individual & family plans Marketplace (ACA), Individual and Family Marketplace (ACA) plans, Sign in or register on Medicare member site, Sign in or register on Group Medicare member site, Sign in or register on myuhc.com/communityplans, Sign in or register on myuhc.com/exchange, Sign in or register on UnitedHealthcare Oxford, Oxford Health insurance,Off-exchange ACA plan in New Jersey, Health ProtectorGuard (fixed indemnity) insurance, Hospital SafeGuard and Hospital SafeGuard Premier, View your license, certification and appointment status, View the status of submitted applications. Note: This method takes longer because signed paperwork must be returned to Availity. Our electronic transactions capabilities will speed up the processing and payment of your claims. Join us in providing better care, better value, and better outcomes for patients throughout the tristate area. Dental plan ID card and claims information is available onmyuhc.com, Vision plan claims information (no ID card needed) is available at myuhcvision.com. It is not medical advice and should not be substituted for regular consultation with your health care provider. For support while using the web portal, please call 1-866-895-8443 or emailTX.WebApplications@superiorhealthplan.com. For more COVID billing information, see our COVID-19 Testing Reimbursement Policy. File claims electronically and directly to Superior HealthPlan with no clearing house fees. We make billing easy so you can focus on patients, not paperwork.
