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Update: Ambetter Fee Schedule

Fecha: 02/12/19

Ambetter from Superior HealthPlan (Marketplace) appreciates your partnership as we achieve our shared goal of delivering quality, accessible and affordable healthcare to our members.

Starting January 1, 2020, the Ambetter fee schedule name will change from Payor Medicare Fee Schedule to Payor Fee Schedule. This is to differentiate the Ambetter fee schedule from the traditional Medicare fee schedule and avoid confusion. Both schedules provide the same reimbursement, so this change will not have a financial impact.

This name change only applies to the providers whose agreements are executed after January 1, 2020.  Existing documents that have the earlier language of “Payor Medicare Fee Schedule” will not need any changes.

For questions, please contact Ambetter Provider Services at 1-877-687-1196.