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  • Paper Communication Request Bformb - Superior Healthplan

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Paper Communication Request Form I would like to receive communications from Superior HealthPlan in paper format only. Provider information: Date First Name Last Name Address City, State, Zip Phone.

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Superior HealthPlan provides benefits and services for Medicaid, CHIP, and health insurance in Texas.

individuals must contact the Medicaid Hotline at 1-800-252-8263. staff must contact the Third-Party Resource (TPR) Unit at 1-800-846-7307.

Call Superior at 1-877-398-9461 to request an appeal by phone, or call Member Services at 1-800-783-5386 for more information.

Superior HealthPlan provides benefits and services for Medicaid, CHIP, and health insurance in Texas.

A written appeal request with all required documentation must be received by Medical and Utilization Review (UR) Appeals within 120 calendar days of the date of the decisions letter. HHSC Medical and UR Appeals may ask for additional documentation.

Timely filing guidelines: 95 days from date of service. Use the Pre-Auth Needed Tool on our website to determine if prior authorization is required. Find recommended services that a member has not completed.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232