SCAN Health Plan

SCAN Health Plan Prior Authorization

Use SCAN’s prior authorization resources and the applicable referral intake workflow.

Short answer

Use SCAN’s prior authorization resources and the applicable referral intake workflow.

Coverage: SCAN Medicare coverage across its service areas; identify the state, product and delegated medical group before selecting operational rules.

Start with the reviewed SCAN Health Plan resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

  • Use SCAN’s prior authorization resources and the applicable referral intake workflow.
  • Requirements and submission responsibility depend on the product, service and delegated medical group. Portal access depends on the provider relationship.

Where to verify prior authorization requirements

How to submit prior authorization requests

  • Not clearly published in the researched sources.

  • No direct topic-specific link was captured in the current research set.

Information commonly required

  • Not clearly published in the researched sources.

Turnaround notes and caveats

  • Requirements and submission responsibility depend on the product, service and delegated medical group. Portal access depends on the provider relationship.

Provider resources

Sources

FactValueSourceConfidence
Official policy reviewUse SCAN’s prior authorization resources and the applicable referral intake workflow.Officialhigh

Update notes

Last updated: 2026-10-30.

  • Verified official authorization, claims and portal resources. Filing remains manual review because a product/state/network-specific filing rule was not established.
  • Do not confuse claim payment processing periods with submission deadlines. Login and the current agreement are needed for final routing.

Last reviewed: October 30, 2026

Sources used: 1 official

Automating prior authorization work

Clark Street Health is testing early-access workflows for requirements checks, status follow-up, document routing, and staff exceptions. Payer rules and clinical decisions still need the controls defined by your practice.

Review the prior authorization workflow