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Claims / EDI
For Providers that are not contracted ("Non-Contracted") with SCAN Health Plan, and your request for claim payment was denied: You have...
Clean Claim Edits Documents
Clean Claim Edits documents
General Resources
General Resources
SCAN Health Plan New Mexico Privacy Policy
Effective Date:10/02/2023 1. General This Privacy Policy describes how SCAN Health Plan New Mexico (“SHPNM”) treats information that it collects and...
Texas Privacy Policy
SCAN Health Plan Texas, Inc.’s Privacy Policy Effective Date: September 30, 2022 1. General This Privacy Policy describes how SCAN Health Plan Texas,...
Texas Terms of Use
SCAN Health Plan Texas, Inc., Terms of Use Effective Date: September 30, 2022 THESE TERMS INCLUDE DISCLAIMER OF WARRANTIES (Section 15), LIMITATION OF...
Prior Authorizations & Medical Policy
Prior Authorizations & Medical Policy
SCAN Health Plan Webinar Resources
Statins in Action 5-Star Webinar (September 2019) View the presentation Presentation slides Year-End Strategies to Maximize 5-Star Performance...
Drug Utilization Review and Management
For certain prescription drugs, special rules restrict how and when the plan covers them. A team of doctors and pharmacists developed these rules to help...