Superior HealthPlan provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.superiorhealthplan.com/providers/resources/electronic-transactions.html |
|---|---|
| Payer contact reference | 1-800-225-2573EDI service-desk support, extension 6075525. This is not a universal provider benefit or claim-status line. |
| Claims payer ID | 68069 covers the documented medical claims. Behavioral-health routing differs by product, including 68068 for the listed CHIP/STAR programs; consult the current product/service table before submission. |
| Eligibility payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| ERA payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| Timely filing | 95 days (verify applicability) |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- EDI service-desk support, extension 6075525. This is not a universal provider benefit or claim-status line.
- This registry has not established a payer-specific appeal ladder for Superior HealthPlan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Superior HealthPlan at a glance
| Legal name | Superior HealthPlan, Inc. |
|---|---|
| Also known as | Superior HealthPlan Texas |
| Category | Medicaid MCO |
| Parent organization | Centene Corporation |
| Claims payer ID | 68069 covers the documented medical claims. Behavioral-health routing differs by product, including 68068 for the listed CHIP/STAR programs; consult the current product/service table before submission. |
| Eligibility (270/271) payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Texas |
| Members covered | ~1.7 million members |
| Provider resource entry point | https://www.superiorhealthplan.com/providers/resources/electronic-transactions.html |
| Provider phone | 1-800-225-2573EDI service-desk support, extension 6075525. This is not a universal provider benefit or claim-status line. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Superior HealthPlan
This registry lists 95 days as an initial-claim reference for Superior HealthPlan. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 95 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Superior HealthPlan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Superior HealthPlan provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Superior HealthPlan
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Superior HealthPlan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Superior HealthPlan. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Superior HealthPlan
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Superior HealthPlan volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 68069 covers the documented medical claims. Behavioral-health routing differs by product, including 68068 for the listed CHIP/STAR programs; consult the current product/service table before submission. |
| 270 / 271 eligibility | Listed in registry; verify current scope | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 68069 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Claims routing evidence does not independently verify eligibility, ERA enrollment, or X12 278 support. Confirm each transaction separately.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
payer_ids.claims
Source comparison: 2026-09-26
68069 covers medical claims in the published products; CHIP/STAR/STAR Health/STAR Kids/STAR+PLUS behavioral claims generally use 68068. Ambetter/MMP/Wellcare behavioral routing differs.
Primary source for payer_ids.claimselectronic_claims_supported
Source comparison: 2026-09-26
Professional/institutional 837 submission is documented through portal or clearinghouse.
Primary source for electronic_claims_supportedportal_url
Source comparison: 2026-09-26
Current billing resource links provider portal, claim routing and PaySpan enrollment.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
800-225-2573 extension 6075525 is EDI service-desk support, not a universal provider service contact.
Primary source for provider_phone
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; timely_filing_days / payer_ids.eligibility / payer_ids.era / era_payer_id / supports_279_271 / supports_278: 835 download is supported but its identifier is not established. The page does not verify universal 95-day filing or 270/271/278 capability..
Sources used for this guide
State coverage
Superior HealthPlan operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Superior HealthPlan
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Superior HealthPlan; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Superior HealthPlan; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Superior HealthPlan before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Superior HealthPlan
Where is the Superior HealthPlan provider portal?
Use https://www.superiorhealthplan.com/providers/resources/electronic-transactions.html as a starting point for Superior HealthPlan provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Superior HealthPlan?
This registry lists 95 days as an initial-claim reference for Superior HealthPlan. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the Superior HealthPlan payer ID?
Claims: 68069 covers the documented medical claims. Behavioral-health routing differs by product, including 68068 for the listed CHIP/STAR programs; consult the current product/service table before submission.. Eligibility (270/271): 68069 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 68069 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Superior HealthPlan accept electronic claims?
Verify Superior HealthPlan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Superior HealthPlan denial?
This registry has not established a payer-specific appeal ladder for Superior HealthPlan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Superior HealthPlan prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Superior HealthPlan provider phone number?
This registry lists 1-800-225-2573 as a contact reference for Superior HealthPlan. EDI service-desk support, extension 6075525. This is not a universal provider benefit or claim-status line.
Automate workflows around Superior HealthPlan requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Superior HealthPlan's current published documents before submission. CPT® is a registered trademark of the American Medical Association.