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Informational Notice: Servicing Providers with Availity

Date: 01/11/17

Note: This notice is for informational purposes only. No action is required.

Thank you for your continued partnership with Superior HealthPlan. In an effort to improve our internal claims processing, our corporate parent, Centene Corporation, has selected Availity as its primary gateway connection for all plans, including Superior. This change will allow Centene to better service our providers with more advanced engagement and communication strategies in the future.

There will be no impact to provider claims and other transactions. We are working on a migration effort with each impacted clearinghouse (listed below) including claims, remits, eligibility and benefits. Each of these clearinghouses already submits transactions to Availity today.

Clearinghouses are being asked to migrate their volume no later than February 17, 2017.

Clearinghouse list:

  • Change Healthcare / Emdeon / Capario / MedAvant / ProxyMed
  • TriZetto Provider Solutions / GatewayEDI
  • Zirmed
  • MedAssets / Xactimed
  • SSI
  • All Scripts / Payerpath
  • SDS – Smart Data Solutions
  • MD Online
  • Practice Insight
  • NEHEN
  • Netwerkes/Optum

In summary, no change is required for our provider community. Providers who currently submit claims through any of the clearinghouses listed above may continue to do so with no interruption to their current business process. Your connection will remain intact. Providers who submit claims directly by paper, through the Secure Provider Portal or other intermediaries may also continue to do so without interruption. Current claim processes will remain intact.

If you have questions about this change please do not hesitate to reach out to your dedicated Account Manager or contact Superior Provider Services at 1-877-391-5921.