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IMPORTANT NOTICE: Employee Retirement System of Texas (ERS) — Plan Year 2018 Provider Network Change

Effective September 1, 2017, the SWHP HMO Network for ERS will be replaced with the BSW Preferred HMO Network. The BSW Preferred HMO Network is not offered in some existing counties, and this change may impact ERS members who are currently covered on the SWHP. ERS members have been notified of this change.

You may receive inquiries from ERS members regarding your participation in the BSW Preferred HMO Network as a result of the network change. Providers and members can access the Find a Provider search tool by going to http://ers.swhp.org/home. The search tool can be used to see participating providers in the BSW Preferred HMO Network by clicking on the link for Plan Year 2018 — Find a Provider.

IMPORTANT NOTICE: MyBenefits Provider Portal Termination

Effective August 31, 2017, SWHP will be terminating the MyBenefits Provider Portal. Users that access this portal through https://swhpah.swhp.org/ will no longer be able to log in.

We recently introduced the SWHP Provider Portal that will allow you to check claims status, member benefits and eligibility, reimbursement rates for codes, and view explanations of claims denial codes. The SWHP Provider Portal can be accessed by going to https://portal.swhp.org/ProviderPortal/#/login.

IMPORTANT NOTICE: Retroactive Authorization Requests

Effective July 5, 2017, the SWHP Health Services Department (HSD) will no longer accept retroactive authorization requests. If a service requires prior authorization and the authorization is not obtained prior to the service being rendered, then the claim billed for the service will be denied.

The SWHP HSD will continue to accept retroactive notifications for the limited services that require one. A reference number will be provided for the notification. For more information, please do not hesitate to contact the SWHP HSD at 1-888-316-7947.

ANNOUNCEMENT: Scott & White Health Plan Provider Relations Representative Contact Information

To identify who your PR Rep is, please use the territory map, which lists the name and cell phone number of each PR Rep along with a color-coded legend that shows the counties that each PR Rep covers. The PR Reps serve as your liaison with SWHP. They are available to assist you with information regarding SWHP’s policies, procedures, questions, and issues or concerns.

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