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Account Reconciliation

ProvidersSubmit a ClaimClaims ResourcesAccount Reconciliation

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A mistake was made — let’s reconcile

Even when claims are properly documented, there’s always the chance of error. We work hard to identify and resolve accounting issues so correct payments can be made.

Retractions & Recoupments

Retractions and recoupments are made for various reasons, including:

  • Duplicate payment on a procedure
  • Incorrect payment on a procedure
  • Payment to the wrong provider

To make a retraction or a recoupment, you’ll need to file an appeal.

Returned Checks

If you return a Scott and White Health Plan check for an adjustment, attach the following documents:

  • An explanation for the adjustment
  • A copy of the EOP
  • Copies of prior payments
  • Any other documentation explaining the payment discrepancy

Send returned or misdirected (sent to the wrong payee) checks to:

Scott and White Health Plan
Attn: Voids and Refunds ‐ Claims
1206 West Campus Drive
Temple, TX
76502

Refund Checks

For all SWHP member claims, providers should send refund checks to reimburse money owed to Scott and White Health Plan to:

Scott and White Health Plan
Attn: Claims Department
PO Box 840523
Dallas, TX 75284-0523