Superior Reconsideration Form - Web use the “reconsideration request form”. A request for reconsideration (level i) is a communication from the provider about a disagreement on how a. Claims appeal (pdf) claims reconsideration (pdf) cms1500 (pdf) corrected claim. Online through superior’s complaint form; Web provider forms | superior healthplan. Web superior offers a number of ways to file a written complaint, as listed below: This form must be completed in its entirety.
Web superior offers a number of ways to file a written complaint, as listed below: A request for reconsideration (level i) is a communication from the provider about a disagreement on how a. Claims appeal (pdf) claims reconsideration (pdf) cms1500 (pdf) corrected claim. Web provider forms | superior healthplan. Online through superior’s complaint form; Web use the “reconsideration request form”. This form must be completed in its entirety.