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Provider Operations Manuals
The SCAN Provider Operations Manual outlines your responsibilities as a provider participating in the SCAN network of providers. As indicated in your provider...
SCAN Embrace Sales Representatives
SCAN Embrace Sales Representatives
Compliance
Compliance
Claim Payment & Electronic Remittance Advice (ERA)
.removeBullet:before{ display: none !important; } SCAN offers the below claim payment options 1. Electronic Funds Transfer (EFT)/Automated...
Claim Overpayment & Recovery
Options for Overpayment & Recovery Please refer to SCAN’s overpayment options below for a SCAN identified or Provider identified overpayment. ...
Prior Authorizations
Prior Authorizations
Eligibility and Benefit Verification
SCAN offers three options to verify member eligibility and benefits:
Processed Claim Inquiry
SCAN's Provider Portal only provides claim status for claims processed directly by SCAN whether contracted or non-contracted. Under the Eligibility...
Claim Submission
SCAN offers two options for submitting claims:
Claims / EDI
For Providers that are not contracted ("Non-Contracted") with SCAN Health Plan, and your request for claim payment was denied: You have...
