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Provider forms - Select Health of SC

(2 days ago) WebOur website and member portal will be down during the following times for planned work: 8 p.m. on Saturday, April 27, 2024 – 1 p.m. on Sunday, April 28, 2024. If you need help …

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

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Forms Select Health

(Just Now) WebNot sure what form to use? Call Us: 800-538-5038. Filters. Show. Utah Forms. Colorado Forms. Idaho Forms. Nevada Forms. Language. English. Español. Type. Individual. …

https://selecthealth.org/resources/forms

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First Choice by Select Health of South Carolina

(3 days ago) WebFirst Choice by Select Health of South Carolina - Providing access to high-quality health care for more than 330,000 South Carolinians requires commitment, devotion, and teamwork focused on positive health …

https://www.selecthealthofsc.com/index.aspx

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Claims and billing - Select Health of SC

(7 days ago) WebHere you will find the tools and resources you need to help manage your submission of claims and receipt of payments. First Choice can accept claim submissions via paper or …

https://www.selecthealthofsc.com/provider/claims-billing/index.aspx

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Select Health Provider Claim Dispute Form

(7 days ago) WebProvider Claim Dispute Form. A dispute is defined as a request from a health care provider to change a decision made by Select Health of South Carolina related to claim …

https://www.selecthealthofsc.com/pdf/provider/resources/provider-claim-dispute-form.pdf

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Getting started - Select Health of SC

(5 days ago) WebCall Member Services at 1-888-276-2020 (TTY 1-888-765-9586). Learn more about Reporting Fraud and Abuse. At First Choice by Select Health of South Carolina, we …

https://www.selecthealthofsc.com/member/english/getting-started//index.aspx

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Members First Choice Next

(5 days ago) WebHealth education to promote healthier lifestyles. Our member portal and mobile apps to help you monitor your health, including care and medicines. A member newsletter with …

https://www.firstchoicenext.com/members/2024/index.aspx

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Request for Medical Preauthorization

(Just Now) WebSubmit completed form with relevant clinical notes and medical necessity information via email as follows: • For Commercial Plans (Large Employer, Small Employer, Self …

https://files.selecthealth.cloud/api/public/content/MEDPreauthForm_Interactive-LATEST.pdf?v=fa2caa12

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Prior Authorization Request Form: Medications - SC DHHS

(4 days ago) WebUniversal Prior Authorization Medication Form - Pharmacy - First Choice - Select Health of South Carolina Author: Select Health of South Carolina Subject: Form Keywords: …

https://www.scdhhs.gov/sites/default/files/managedcare/UniversalPriorAuth_Medications_FORM.pdf

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Preauthorization Provider Development Select Health

(1 days ago) WebSelect Health requires preauthorization for inpatient services; maternity stays longer than two days for a normal delivery or longer than four days for a cesarean; durable medical …

https://selecthealth.org/providers/preauthorization

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Providers First Choice Next

(2 days ago) WebReport fraud, waste, and abuse. Learn how you can help First Choice Next monitor and report fraud, waste, and abuse. If you have any questions, call First Choice Next …

https://www.firstchoicenext.com/providers/index.aspx

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Registration: Step 1 of 3 - Member Portal - Select Health of SC

(Just Now) WebRegistration: Step 1 of 3. You do not have to register for this site. It is offered to you as a tool to help you get information. It is not required. You can still call First Choice at 1-888 …

https://memberportal.selecthealthofsc.com/apps/registration/index.aspx

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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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Log in - Member Portal - Select Health of SC

(7 days ago) WebOur website and member portal will be down during the following times for planned work: 8 p.m. on Saturday, April 27, 2024 – 1 p.m. on Sunday, April 28, 2024. If you need help …

https://memberportal.selecthealthofsc.com/apps/userauth/log-in.aspx

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Forms & List Preauthorization Select Health

(7 days ago) WebPreauthorization Request Forms. Preauthorization forms must be submitted when not using CareAffiliate or PromptPA. Access the relevant request form for your practice using the …

https://selecthealth.org/providers/preauthorization/forms-and-lists

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Contact Us - First Choice by Select Health of South Carolina

(8 days ago) WebIf you would like an answer, please complete the form below. Please complete the security check below. Members: If you have any problems, call Member Services at 1-888-276 …

https://apps.selecthealthofsc.com/securecontact/index.aspx

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2023 Evidence of Coverage - First Choice Next, a product of …

(8 days ago) WebSHSC Ind SC PY23 - EOC – 20220729 v5 . 2023 EVIDENCE OF COVERAGE Select Health of South Carolina, Inc. Individual Member Health Maintenance Organization …

https://www.firstchoicenext.com/_assets/assets/pdf/member/forms/evidence-of-coverage.pdf

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Appeal Form - SelectHealth.org

(2 days ago) WebAppeal Form Subscriber Name Subscriber ID Street Address City State ZIP Home Ph# ( ) Work Ph# ( ) Provider Patient Name (person mentioned in the appeal) Date of Birth / / …

https://selecthealth.org/-/media/selecthealth/files/forms-and-pdfs/others/17254502_appeal_formupdate_2019ff.ashx

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Log in - Member Portal - Select Health of SC

(6 days ago) WebNew users: Register See your medical and drug benefits. View health information just for you. Review your medical care history and more.

https://memberportal.selecthealthofsc.com/apps/userauth/log-in.aspxserauth/log-in.aspx

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Providers First Choice VIP Care Plus

(8 days ago) WebCall Provider Services at 1-888-978-0862 (TTY/TDD 711), 8 a.m. to 8 p.m., 7 days a week. H8213_001_WEB_1682003 Pending. AmeriHealth Caritas welcomes our participating …

https://www.firstchoicevipcareplus.com/provider/index.aspx

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Healthcare Drug Lists and Formularies Select Health

(5 days ago) WebPlease contact Select Health at 855-442-9988. View latest Medicare Advantage formulary changes. **Colorado Prescribers: If additional information is required to process an …

https://selecthealth.org/providers/pharmacy/lists-and-formularies

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