SCAN Medicare Advantage Plan Resources

TECQ supports providers and members by simplifying administrative workflows for SCAN Medicare Advantage plans, including eligibility verification, prior authorization guidance, claims submission support, and care coordination best practices.

Overview

SCAN Health Plan offers Medicare Advantage coverage designed to help members access high-quality, coordinated care while supporting providers through structured utilization management and claims processes. This page provides commonly used operational guidance and resources.

For Providers

• Eligibility Verification: Confirm member eligibility prior to rendering services. A member ID card does not guarantee eligibility.
• Prior Authorization: Review authorization requirements and submit complete clinical documentation to avoid delays in care.
• Claims Submission: Submit clean claims with accurate member, provider, diagnosis, and procedure information to support timely payment.
• Care Coordination: Communicate consultation findings and follow-up plans with the member’s Primary Care Provider to maintain continuity of care.
• Compliance & Documentation: Maintain accurate medical records to support quality measures, audits, and regulatory requirements.

Common Documents & Resources

• Provider Manual: Operational policies and procedures
• Prior Authorization Guidelines: Requirements and turnaround times
• Claims & Billing Guidance: Clean claim standards and filing limits
• Forms Library: Referral, authorization, and supporting forms
• Provider Support Contacts: Claims, credentialing, and compliance assistance

For Members

SCAN members who need assistance understanding benefits, coverage, or accessing care should contact Member Services using the phone number on their SCAN member ID card. For urgent or emergency medical needs, call 911 or visit the nearest emergency room.

Need Assistance?

For help with eligibility, prior authorization, claims, or provider onboarding, please visit the Provider Resources section or Contact Us page. Our team is here to support timely and accurate request processing.

Contact Information