Provider Reference Materials
Prior Authorization Requirements Grid (PDF)
Grid summarizes authorization requirements by service.
Provider Quick Reference Guide (PDF)
Tip sheet providing basics on SWH billing, authorizations, pharmacy services, subcontracted vendors and more.
Sample of Remittance Advice (PDF) , September 2010
Provider Relations Presentation (PDF) — updated February 2020
SWH Quality Program Summary
It is Senior Whole Health's mission to maximize the quality of life, health, security and independence of our members. It is critical to that mission that we provide members with top quality care and service. The company has established a Quality Improvement Team, structure and contributing resources to deliver on this goal.
Beacon Health Options offers a PCP Toolkit that assists PCPs in coordinating care with behavioral health practitioners. Click here to find forms and patient information that PCPs can use. Beacon's site also provides information on behavioral health disorders that can be helpful to PCPs and their patients.
Last Updated 05/27/2020