Provider Portal and Authorizations

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

 

Last Updated on 01/02/2024 by Chris Gartner

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