How To Submit Claims To Scott and White Health Plan

For Scott and White Health Plan, 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

• Claims can be submitted electronically through Availity or by paper mail. The official claims page lists a paper claims address, a claims refunds address, and a certified paper claims address. The commercial provider manual identifies payer ID 94999 for electronic claims and says both UB-04 and CMS-1500 are accepted electronically. Claims rejected as non-clean are considered never received and must be corrected and resubmitted within the filing deadline.

Submission channels

• Availity electronic claims portal
• HIPAA-compliant Availity web portal
• paper mail
• certified paper claims via Smart Data Solutions

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 Refunds 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

• Mark the corrected claim clearly as a corrected claim.

• For CMS-1500, use Box 19 = CORRECTED CLAIM.

• For UB-04, use Bill Type = xxx as stated in the manual.

• Mail corrected claims to Baylor Scott & White Health Plan, Attn: Claims Department, P.O. Box 21800, Eagan, MN 55121-0800.

• If a claim intended to be corrected is not marked as corrected, it may be denied as a duplicate and treated as a new claim.

• Claims status resource 1

Caveats

• The official claims page does not appear to list all electronic routes in one place; the manual specifically names Availity.
• Paper and electronic mailing addresses differ by claim type and purpose (claims, refunds, certified claims, corrected claims).
• The reviewed sources are strongest for Commercial claims; Medicare/SeniorCare claims have separate rules.
• The site instructs providers to follow TDI requirements as well as BSWHP requirements.

Provider resources

• Provider Resources (official)
• Claims & Billing (official)
• Medical Resources (official)
• Pharmacy Resources (official)
• Commercial Provider Manual (PDF) (official)

Sources