Providers
Effective Immediately
To better serve our Members and Providers, SWHP has implemented an new phone system. The system will request the Member or Provider enter the 11 digit Member Number (or SSN) being addressed. The call will then route to the appropriate Advocate specifically trained to address the issue.
Benefits and Eligibility |
Claims and Billing |
Medical Management |
Complaints and Appeals |
Quality Improvement |
Medical PoliciesReimbursement Policies |
Provider Directory |
Provider Manual |
Pharmacy Services - Prior Auth/Formularies |
General Information |
Provider Contract Requests |
Out of Network ProvidersFrequently Asked Questions |
How to Become a Pharmacy Provider |
Tutorials |