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Provider Account Management

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IMPORTANT NOTICE: Online Forms

We experienced a technical issue with online forms, and are working to improve them.

Forms submitted between 8/20/2019 and 9/2/2019 will need to be re-submitted. We apologize for the inconvenience.

IMPORTANT NOTICE: Contracted Providers SWHP/FirstCare FAQs

Scott and White Health Plan (SWHP) has acquired FirstCare Health Plans. View answers to frequently asked contract questions.

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PHCS Providers

Providing Services to SWHP Members

If you are a provider in the PHCS Primary Network or PHCS Healthy Directions Network and have opted in to participate with SWHP, then you may have some SWHP members that seek medical services from you. To identify the SWHP members that can seek medical services from you as a PHCS provider, the member ID cards will have the PHCS logo on the back of them. An example of the PHCS logo that is on the back of the member ID cards can be viewed here.

Prior Authorization List

Click here to view the SWHP Prior Authorization List and download a copy of the appropriate Prior Authorization Request Form and Fax Cover Sheet.

Verifying Member Eligibility & Benefits

To verify eligibility and benefits for SWHP members, you can register to use the SWHP Provider Portal by clicking here. If you need assistance with using the provider portal, please contact the Provider Relations Department at 1-800-321-7947, ext. 203064 or 254-298-3064. You can also verify member eligibility and benefits by calling the Interactive Voice Response (IVR) System at 1-800-655-7947.

If you have never billed a claim to SWHP, then you will need to complete and submit the EDI Intake Form in order to register to use the IVR.

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Why work with Scott and White Health Plan?

We’re a company born and bred in Texas — so we understand the healthcare needs of Texans. After all, we’re part of Baylor Scott & White Health, Texas’ largest not-for-profit healthcare system with a 100-year legacy. We’ll help make your job easier, so you can focus your time on helping your patients.

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Join Our Network

Become a Scott and White Health Plan Provider

Thanks for your interest in becoming a contracted provider. We’re always looking for exceptional providers to join our growing network of physicians and hospitals. Together, we can help you give your patients—and our members—the quality, cost-efficient care they deserve. Start the application process today.

See below for links to information about applying to SWHP and Aperture—our Credentialing Verification Organization (CVO).

Helpful Links:

Healthcare Providers

Important Notice: Thank you for your interest in becoming a SWHP contracted provider. At this time SWHP’s network will be closed to all new providers until 2020. Please check back again when the network is open to submit your online application.

Pharmacy Providers

Apply to become a Commercial or Medicare pharmacy network provider by contacting Optum Provider Relations at 1-877-633-4701 or Provider.Relations@optum.com

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Making a difference for providers

A Trusted Network

Be a part of a network that's nationally recognized and highly rated.

Mobile-Friendly Portal

Check member eligibility, claim status, and more on your smartphone.

Telemedicine Services

Treat patients from the comfort of your office, no matter where they are.

Provider Support

Enjoy the same support we offer your patients.

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