CLICK THE LINK ABOVE TO ACCESS THE PORTAL
Use the Provider Portal for claim dates of service starting January 1, 2019. For dates of service prior to January 1, 2019, or any other issues or questions when using our Provider Portal, please call the Provider Contact Center at 1-888-633-4055.
South Country Provider Portal Accumulator Disclaimers
The South Country Health Alliance provider web portal currently displays vision, home care skilled nursing, hearing aid, breast pump, hospice election, and chiropractic accumulators. Click the link below for more information.
Prior Authorization and Notification Requirements
Select and download a list to review criteria for the following:
Cosmetic, Medical Dental, Diagnostics, DME, EIDBI, Experimental, Genetic Testing, Gender Confirmation Surgery, Hearing, Home Care, Inpatient, Medical Pharmacy, Mental Health & Substance Use Disorders, Out-of-Network, Skilled Nursing Facilities, Surgery, Transplants, Transportation, Wound Care, Vision, and Miscellaneous.
Previous Years' Lists
- 2022 Medical Prior Authorization and Notification List
- 2022 Behavioral Health Prior Authorization and Notification List
- 2021 Prior Authorization and Notification List (pdf)
- 2020 Prior Authorization and Notification List (pdf)
- 2019 Prior Authorization and Notification List (pdf)
- 2018 Prior Authorization Grid (pdf)