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  • Prior Authorization Form - Trs-activecare Scott White - Trs Swhp

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PRIOR AUTHORIZATION REQUEST FORM EOC ID: Phone: 800-728-7947 Fax back to: 866-880-4532 Scott & White Prescription Services manages the pharmacy drug benefit for your patient. Certain requests.

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Payer Name: Right Care from Scott & White.

The EDI Intake Form is for our Configuration team to enter your provider information into our claims adjudication system. For more information, visit Availity or call them at 800.282. 4548.

Our Company. Part of the Baylor Scott & White Health family, Baylor Scott & White Health Plan began operations in January 1982 and now covers nearly 500,000 members, with a service area covering 171 counties in north, central and west Texas.

If you need to speak to someone, our Customer Service department is available to take payments over the phone from Monday through Friday from 8:00 AM - 5:00 PM and can be reached at 1.800. 994.0371.

Please send claims and related correspondence to: Scott & White Health Plan | Availity Payer ID 88030 Attn: Claims PO Box 21800, Eagan, MN 55121-0800 254-298-3000 or 800-321-7947 NOTICE: Possession of this card or obtaining precertification does not guarantee coverage or payment for the service or procedure reviewed.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232