How To Submit Claims To Baylor Scott & White Insurance Company

For Baylor Scott & White Insurance Company, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.

At a glance

• BSWHP accepts electronic claims through Availity and paper claims by mail. The official claims page lists payer ID 94999 for electronic submissions, accepts UB-04 and CMS-1500 electronically, and provides separate paper, refund, and certified paper claim addresses. Claims status and benefits can be checked through the provider portal/IVR.

Submission channels

• Availity web portal
• Electronic claims via Availity batch submission
• Paper claims by mail
• Provider portal claims search
• IVR/provider portal for claims status and benefits

Electronic claims payer IDs

• 94999

Paper claims addresses

• Baylor Scott & White Health Plan, ATTN: Claims Review Dept., P.O. Box 211342, Eagan, MN 55121-1342
• Baylor Scott & White Health Plan, ATTN: Claims Review Dept., P.O. Box 840523, Dallas, TX 75284-0523
• Baylor Scott & White Health Plan c/o Smart Data Solutions, 960 Blue Gentian Road, Eagan, MN 55121-1500

Corrected claims and follow-up

• The official claims page directs providers to review submission guidelines and tutorials and send correspondence by type to the paper claims address or claim refunds address as appropriate.

• The official provider resources page indicates claim redeterminations for commercial and some other lines moved to Provider Service Center workflows, while Medicare and Medicaid redeterminations remain through portal or mail.

• The retrieved official content does not provide a single universal corrected-claim form or universal corrected-claim address.

• Claims status resource 1

• Claims status resource 2

Caveats

• The official site contains line-of-business differences for claim redeterminations/appeals.
• Paper claim receipt is based on when the claim reaches the mailroom.
• Members' ID numbers must include the two-digit suffix for electronic acceptance.

Provider resources

• Provider Resources (official)
• Claims & Billing (official)
• Self-Service Portal (official)
• Portal Login (official)
• Contact Us (official)
• Commercial Provider Manual PDF (official)
• Prior Authorization List PDF (official)
• Pharmacy Resources (official)

Sources