2021 Provider Reference Guide - SWHP.org

PR_RefGuide-20212021 Provider Reference Guide2021 Provider Reference Guide HELPFUL PLAN INFORMATION Commercial & MedicareMedicaidWebsite ResourcesProvider Home Provider and Search #/searchProvider Home and Search #/searchClaims/Eligibility VerificationProvider PortalPlease visit our website at the following to determine the appropriate portal for claims and eligibility verification: Verification Line (IVR Line): or Provider Portal Customer Service855-TX-RIGHT ( ) Claims FilingElectronic Clearinghouse AvailityPayor ID: 94999 Initial Filing Deadline 95/365 (Commercial/Medicare) days from date of service Corrected Filing Deadline 90 (Commercial) days from the date of deter-mination on the initially filed clean claim 365 (Medicare) days from the date of servicePaper Claims Filing AddressScott and White Health PlanATTN: Claims Review Box 21800 Eagan, MN 55121-0800 BSWHP is transitioning commercial business to a new claims system in a phased approach. If your group has transitioned to the new claims system, your claims should be sent to: Scott and White Health Plan BOX 211342 Eagan, MN 55121-1342 More Clearinghouse Change HealthcarePayor ID: 74205 Initial Filing Deadline95 days from date of serviceCorrected Filing Deadline 120 days from the date of dispositionPaper Claims with DOS prior to 11/1/2019 RightCare from Scott and White Health Plan Attn: Claims Appeals MS-A4-144 1206 West Campus Drive Temple.

find a provider at swhp.org Card Issue Date: 04/29/2021 • I • T CUSTOMER SERVICE: 844-633-5325 • swhp.org FOR PROVIDERS FOR MEMBERS Electronic Claims: Availity: 94999 Paper Claims: Scott and White Health Plan ATTN: Claims PO Box 211342 Eagan, MN 55121-1342 Prior Authorization: Visit the provider portal Fax: 800-626-3042 Phone: 866-384 ...

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