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ANNOUNCEMENT: Online Redetermination Requests

Providers can now submit redetermination requests online through the SWHP Provider Portal. Learn more here.

ATTENTION: SeniorCare Cost Transition

SeniorCare Cost is transitioning to Medicare Advantage plans in Central Texas for 2019. Please click here for details and FAQ’s.

IMPORTANT ANNOUNCEMENT: eviCore healthcare to Provide Benefits Management Services

Scott and White Health Plan (SWHP) is pleased to announce its partnership with eviCore Healthcare to provide benefits management services for selected covered services requiring prior approval. This involves individuals enrolled in SWHP’s Commercial and Medicare Advantage programs.

SWHP members enrolled in the above-mentioned plans will require prior authorization by eviCore healthcare for the following covered services for dates of service:

August 1, 2018, and thereafter: Advanced Imaging (PET/MRI/CT) and Nuclear Medicine

For dates of service September 1, 2018, and thereafter: Cardiology Imaging and Select Cardiac Procedures

For dates of service October 1, 2018, and thereafter: Joint, Spine, and Pain Management Procedures

For more information about the eviCore Prior Authorization program, click here.

Attend the online orientation! The orientation schedule and program training resources are available here. eviCore Healthcare’s Clinical Guidelines and request forms are available on the Resources page at eviCore.com.

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

To find the Provider Relations Representative for your county, please see the Provider Relations Representative Territory Map.

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New Prior Authorization Requirements — Evicore

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View member information. Track claims. Get marketing materials and more.

Create an Account

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Quality Improvement: Clinical Guidelines

Clinical Guidelines

Behavioral Health
Chronic Conditions
Behavioral Health

 

Women's Health
Miscellaneous

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