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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...

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Clean Claim Edits Documents

Clean Claim Edits documents

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General Resources

General Resources

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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...

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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,...

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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...

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Prior Authorizations & Medical Policy

Prior Authorizations & Medical Policy

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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...

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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...

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