Select Health Of Sc Credentialing Requirements

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Credentialing - Select Health of SC

(Just Now) WebPlease contact your Provider Network account executive for the additional documents required. Simply having a CAQH record does not initiate the credentialing process with Select Health. To learn more about the credentialing process, please refer to your …

https://www.selecthealthofsc.com/provider/resources/credentialing.aspx

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2020 External Quality Review - SC DHHS

(5 days ago) WebOverall, Select Health met the requirements set forth in 42 CFR Part 438 Subpart Dand the Quality Assessment and Performance Improvement (QAPI) program requirements …

https://msp.scdhhs.gov/managedcare/sites/default/files/SCEQR_SelectHealth%20EQR%20Final%20Report%202020_Revised.pdf

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Network Eligibility Provider Development Select Health

(4 days ago) WebNetwork Eligibility Requirements . For prescribing behavioral health providers (excluding Advance Practice Professionals): Meet credentialing criteria, PPSC approval as …

https://selecthealth.org/providers/behavioral-health/eligibility

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2019 External Quality Review - SC DHHS

(Just Now) Webthe Credentialing Program 2019 document discusses the process Select Health uses for initial credentialing and recredentialing of practitioners and organizational providers. All …

https://msp.scdhhs.gov/managedcare/sites/default/files/SCEQR_Select%20Health%202019%20EQR%20Final%20Report.pdf

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Credentialing First Choice VIP Care Plus

(6 days ago) WebFirst Choice VIP Care Plus. Attn: Credentialing Department. 200 Stevens Drive. Philadelphia, PA 19113. H8213_001_WEB_318369 _Approved_11132018. First Choice …

https://www.firstchoicevipcareplus.com/provider/resources/credentialing.aspx

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2017 External Quality Review

(4 days ago) WebSelect Health of South Carolina (Select Health) since the 2016 annual review. This report contains a description of the process and the results of the 2017 External Quality Review …

https://www.scdhhs.gov/sites/default/files/managedcare/SCEQR_Select%20Health%20Final%20Report%202017.pdf

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Provider Reference Manual - SelectHealth.org

(7 days ago) Web> SelectHealth member claims paid as a preferred benefit Responsibilities of SelectHealth and contracted providers include: > SelectHealth members being directed to facilities …

https://selecthealth.org/-/media/providerdevelopment/pdfs/manuals/masterprm_060121.ashx

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Prior authorization - Select Health of SC

(7 days ago) WebHow to submit a request for prior authorization. Online: NaviNet Provider Portal https://navinet.navimedix.com > Medical Authorizations. By phone: 1-888-559-1010 (toll …

https://www.selecthealthofsc.com/provider/resources/prior-auth.aspx

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Behavioral Health Services SCDHHS

(4 days ago) WebFirst Choice by Select Health of SC: (888) 276-2020; Humana Healthy Horizons of SC: (866) 432-0001; They may choose to enroll based on their credentialing …

https://www.scdhhs.gov/resources/programs-and-initiatives/behavioral-health-services

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Individual Provider Enrollment Application - South Carolina …

(6 days ago) WebCredentialing Contact Information: Your application will be considered in process when all fields on this application are completed and all required documentation is included. For a …

https://www.southcarolinablues.com/web/public/resources/d841bfab-a447-42a3-843f-7efa1bb36b3b/Provider+Enrollment+Application_06-02-23.pdf?MOD=AJPERES&CVID=oxWpAV5

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Provider Manual - First Choice Next

(9 days ago) WebChanges based on plan, state, or federal requirements may be made . at any time. This document applies to First Choice Next individual and . family health insurance products …

https://www.firstchoicenext.com/_assets/assets/pdf/provider/resources/provider-manual.pdf

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PROVIDER ENROLLMENT and SCREENING REQUIREMENTS

(Just Now) Web• Be enrolled in the South Carolina Medicaid program and receive official notification of enrollment. PROVIDER ENROLLMENT PROCESS The enrollment process includes …

https://www.scdhhs.gov/sites/default/files/PE-Screening%20Requirements%20Web%20Page%2012.20.2021.pdf

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Become a Provider SCDHHS

(8 days ago) WebAfter 30 days, the in-process application will be purged and you must start the enrollment process over and be assigned another Reference ID#. Complete an online provider …

https://www.scdhhs.gov/providers/become-provider

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Provider Enrollment BlueCross BlueShield of South Carolina

(6 days ago) WebEnrollment Options. Join a network, make updates and more. My Provider Enrollment Portal. Laboratory*. Patient-Centered Medical Home. Electronic Funds Transfer and …

https://www.southcarolinablues.com/web/public/brands/sc/providers/provider-enrollment/

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Join Our Network Healthy Blue of South Carolina

(6 days ago) WebContact Information. Call Provider Services at 800-868-2510 and select option 5. There are two available options. Both will allow you to speak with a representative. Press 1 for …

https://www.healthybluesc.com/providers/join-our-network

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Provider Enrollment Frequently Asked Questions

(8 days ago) WebWe send re-credentialing letters to physicians. If a facility has a designated department or contact person that handles credentialing on file, we send the notification there. If a …

https://www.southcarolinablues.com/web/public/brands/sc/providers/tools-and-resources/frequently-asked-questions/provider-enrollment-faqs/

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Provider Recredentialing BlueCross BlueShield of South Carolina

(4 days ago) WebSubmit the application and required documents to our credentialing team using one of the following methods: Fax: 803-870-9997. Email: [email protected].

https://provider.bcbssc.com/web/public/brands/sc/providers/provider-enrollment/provider-recredentialing/

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