Effective July 1, 2025: New Payment Policy: Inpatient Claim Billing/Coding Reviews

Fecha: 14/04/25

Superior HealthPlan and Ambetter from Superior HealthPlan present a new payment policy to communicate payment policy for inpatient claim billing and coding reviews. As a result, the following policy has been created, and is posted on Superior’s Clinical, Payment and Pharmacy Policies webpage for review, prior to its implementation:

To review all clinical payment or payment policies, please visit Superior’s Clinical, Payment and Pharmacy Polices webpage.

For questions or additional information, please contact Provider Services at:

• 1-877-391-5921 (Medicaid [STAR, STAR Health, STAR Kids, STAR+PLUS] and CHIP)
• 1-877-687-1196 (Ambetter from Superior HealthPlan)