Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Superior HealthPlan Star+Plus Medicare-Medicaid Plan (MMP) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Superior HealthPlan Star+Plus Medicare-Medicaid Plan (MMP) fax number
(877) 808-9368
Outpatient Authorization (Prior Authorization)
Used for: Outpatient authorization requests for medical services
Fax destination details
- Department
- Outpatient Authorization (Prior Authorization)
- Purpose
- Outpatient authorization requests for medical services
- Form
- TX-PAF-0907 — Outpatient Authorization Form
- Voice phone
- 1-800-783-5386; 1-800-218-7453
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the form and fax to 1-877-808-9368 for Standard Requests; expedited requests can be initiated by calling 1-800-218-7508; Part B Drug requests should be faxed to 1-844-960-1785; include all required fields and supporting information.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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