Baylor Scott & White Health Plan
Also covers / subsidiaries: BSWHP, Scott and White Health Plan, SWHP
Core Payer & Clearinghouse Profile
Electronic Payer ID
94999
Payer number 94999 per BSWHP for Availity; legacy Scott & White listings may show 88030.
Timely Filing Limit (TFL)
95 days from date of service (COB: 95 days from primary payer's EOP date)
Appeal Window
Provider Claim Review Request via Provider Service Center (833-542-8179); processed within 30 days
Clearinghouse Gateway
Availity
Provider Services
833-542-8179
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Baylor Scott & White Health Plan, Attn: Claims Department, P.O. Box 840523, Dallas, TX 75284-0523
Provider Portal
https://www.bswhealthplan.com/providers/portal
Texas-based (consolidated legacy Scott & White Health Plan). Redetermination mail: P.O. Box 211342, Eagan, MN 55121-1342.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Baylor Scott & White Health Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Baylor Scott & White Health Plan.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Firstcare | 94999 | Non-Par | None | 837P837I835 ERA |
| Scott And White Health Plan | TH002 | Non-Par | Required | 835 ERA |
Resolution Tools for Baylor Scott & White Health Plan Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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