Complaints Provider Newsflash. Payspan, Secure Provider Portal. Payspan. Administrative PAYSPAN. Secure Provider Portal

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1 Secure Portal Electronic Funds Transfer (EFT) Solution Secure Prior Guide Portal Payspan Manage patient administrative Quick Reference Guide tasks quickly easily. Get Paid Faster How to Obtain Prior Simplify Office Superior HealthPlan offers Payspan, a free solution that helps providers simplify the Administrative Tasks Pre-Auth Needed Tool payment tracking transfer process. View Multiple TINs One point of entry allows for quick easy access to Superior HealthPlan member information for multiple TINs/practices. Access Daily Patient Lists from One Screen One concise view allows Primary Care s to scan patient lists for details such as Superior member Access Manage eligibility care gaps. Tool Keep this Quick Reference Guidetonearby simplify pre-visit Use the Pre-Auth Needed quicklytodetermine if a service or procedure requires prior Daily Patient Lists Batch Claims planning post-visit tasks. from One Screen for Free Manage Batch Claims for Free authorization, by visiting /providers/preauth-check/medicaid-pre-auth.html. Submit manage claims, including batch Improve cash flow Funds Transfer (EFT) Maintain control over Eliminate re-keying of view detailed Electronic Website: Secure Portal:. bank accounts remittance data by gettinghistory. payments faster. payment Patient care forms eligibility manual by routingverify Manage how prioryou authorizations PROTECTED, EFTs member to the bank by choosing want to Simplify Prior Settle claims Pre-auth needed tool electronically Access patient health records Preferred drug list account(s) Submit manage claims of your choice. CONVENIENT receive remittance details. View If asuperior service requires prior authorization, submit through one of the following ways: Simplify Process through Electronic Fund HealthPlan news View patient gaps Member resources Obtain provider resources Multiple ACCESSCreate Prior Submit prior authorization requests using Match payments to custom reports Transfers (EFTs) Electronic TINs AT YOURincluding ACH summary reports, the Smart Sheets statements quickly Remittance Advicesfeature (ERAs).with prompts Process Member Patient Care Gaps easilyprior Claimssummary reports, foreligibility required clinical information. FINGERTIPS re-associate monthly Check member eligibility: Find recommended paymentsuse Pre-Auth Needed Timely filing guidelines: withthe claims. payment reports sorted by date. Utilize Additional Features to services a member Toolprovider on our website 95 days from date of service. Secure This isportal theoffice preferred that fastest method. The After normal business hours Streamline Operations: multiple payers, has not completed. Manage to determine if prior Submit Services: be a registered user. onclaims: holidays, calls are Streamline Check must View patient demographics history. is required. includingauthorization any payers that are 1. Visit the Secure Secure Portal Patient Care Office directed to Superior s using Payspan toprior settle claims. Submit Use the secure messaging featureportal. to Operations Gaps 24-hour Nurse Advice Line. TTY/TDD: Clearinghouses: authorizations: communicate with Superior. 2. Review patient EDI Payor ID information for any Secure Portal Update provider demographics. Mail paper claims to: gaps in care. Fax: Superior HealthPlan 3. Plan to address care Phone: P.O. Box 3003 gaps during a future Visit PaySpanHealth.com click Register. Farmington, MO appointment Please note: Submit a Prior Request SECURE PROVIDER PORTAL. FAX Medical PHONE Behavioral Health SET UP YOUR PAYSPAN Visit our QUESTIONS? You may need your National Identifier (NPI) Started out-of-network servicesnow! require prior authorization except emergency care, ACCOUNT AllGet Tax ID Number (TIN) or Employer Identification Number (EIN). website Superior for a Contact list of services HealthPlan at Pre-Visit TODAY that require prior Planning authorization. Checklist out-of-area urgent care out-of-area dialysis. click Create. VerifyVisit member eligibility. Failure to complete the required prior authorization or certification may result your tax ID number during Checkan foraccount. patient carehave gaps address them during ready upcoming office sign visit. up. in a denied claim. Use Pre-Auth Needed Tool to determine if prior authorization is needed before appointment. More resources available at /providers. Services: Services: How to Register for Complaints Sign Up for Superior s Payspan After-Hours Telephone Newsflash Accessibility Stards Superior HealthPlan has an online complaint submission form available through the Superior website. The online form allows providers to file complaints for resolution. Payspan a free, secure online tool that gives providers optionnewsflash to: Don t missisimportant provider news updates! Superior sthe is an The e-newsletter Texas Health ed Human twoservices weeks to(hhs) subscribing Uniform providers. Managed Take Care a moment Contracttosets subscribe Improve cash flowevery Manage multiple payers Submitting Complaints accessibility today Maintain start stards to receiving news aaccounts Primary relevant Care to your area (PCP) /or must Superior follow, products. to allow patients control overthat bank Create custom reports to reach them by electronically phone after normal business hours. Superior audits PCP offices after Settle claims View remittance advice online ONLINE business hours to determine compliance Match payments to statements quickly with these stards. Below are the basic s can access submit the assess Online Complaint Formafter-hours by visiting availability. accessibility requirements to help you your current Registering for Payspan is simple only takes about 10 minutes. /contact-us/complaint-form-information.html Stay up-to-date withonline the latest News! Follow(scroll the instructions begin. to the bottombelow of the to web page to begin). Follow instructions to begin. Whatthe meets the below stards? Visit MAIL. OR FAX Superior will answer complaints within A bilingual answering service, which can contact the PCP or another designated medical practitioner. Click on the For s tab. completed The complaint form can be printed, Registration mailed or faxed to: message that directs the patient to call another number to reach the PCP or A bilingual answering machine Click on News & Information found on the date the complaint is Mail: anothersuperior designatedhealthplan provider (not another answering machine). left side bar navigation menu. ATTN: Complaint Department received. Office telephone systems that transfer calls to another location where someone will answer the telephone registration code. News on this page, click Sign up Under Visit PaySpanHealth.com click Register Now. to update your information to receive important Fax: the registration code click Submit. news unique updates onthe Superior HealthPlan to WhatEnter doesn t meet stards? OR begin the process. Most of the time, Superior can assist right away. There is no time limit for filing a complaint with Superior. s can also submit The office telephone is not answered afterid office hours. CALL Enter the registration code, Number Enter provider information select Submit when a complaint to Texas Health The answering machine message patients to leave a message. (PIN), Taxmay ID Number ortells Employer s also file(tin) a verbal complaint by calling complete. Human Services (HHS) by calling Identification Numbermessage (EIN) National The answering machine is not bilingual (English Spanish). Identifier (NPI) click Startinstructs Registration. The answering machine message patients to go to an Emergency Room for any services needed. Please Note: The online feature written complaint process does not replace or include inquiries or appeals related to Claims or Medical Necessity Appeals. For those services, please continue to contact may also newsletters by visiting Superior ss applicable departments by view visiting archived. Need more information on accessibility stards? /providers/provider-news.html. Review Superior s provider manual at Services: Services: /providers/training-manuals.html. Services: Services:

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5 Secure Portal Secure Portal Manage patient administrative tasks quickly easily. View Multiple TINs One point of entry allows for quick easy access to Superior HealthPlan member information for multiple TINs/practices. Access Daily Patient Lists from One Screen One concise view allows Primary Care s to scan patient lists for details such as Superior member eligibility care gaps. Manage Batch Claims for Free Submit manage claims, including batch view detailed Electronic Funds Transfer (EFT) payment history. Simplify Prior Process Submit prior authorization requests using the Smart Sheets feature with prompts for required clinical information. Utilize Additional Features to Streamline Office Operations: View patient demographics history. Use the secure messaging feature to communicate with Superior. Update provider demographics. View Multiple TINs Access Daily Patient Lists from One Screen Streamline Office Operations PROTECTED, CONVENIENT ACCESS AT YOUR FINGERTIPS Manage Batch Claims for Free Check Patient Care Gaps Simplify Prior Process QUESTIONS? Contact Superior HealthPlan at Get Started Now! Visit. click Create an Account. Have your tax ID number ready during sign up.

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