Physician Self-Service Center
A 100% web-based application that enables clinic staff and physicians to verify patient eligibility, claims status and referral status for the Seton employee plans (SHP1, SHP2, and EPN); Seton Health Plan CHIP; City MAP (CBRACKFQ Group); SETONCare Plus and Charity. To ensure secure, safe and confidential transactions, you must become a registered user.You will need the free Acrobat Reader, a browser plug- in to view or print some of the documents below.
Reference Center
Seton Employee Health Plan Benefit Comparison Grid 23 KB pdf
Provider Inservices
Provider In-service 2007 for Plan Year 2008 372 KB pdf Provider In-service 2006 for Plan Year 2007 215 KB pdf
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Provider Directories 2008
EPN Provider Directory 2008 615 KB pdf Expanded EPN SHPN Supplement Provider Directory 106 KB pdf Texas True Choice Texas Physicians 2,645 KB pdf Texas True Choice Texas Facilities and Ancillary Providers 446 KB pdf CHIP 448 KB pdf
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Referral and Authorization Procedures
Referral/Precertification Form
Seton Employees, Seton Promise, SETONCare Plus, MAP, CCHC and Charity 85 KB pdf Referral/Precertification Form
Seton Health Plan CHIP 90 KB pdf Prior Authorization List 26 KB pdf Injectable Medication Authorization Form 22 KB pdf Medication Prior Authorization Request Form 25 KB pdf Prescription Medication Prior Authorization Process 9 KB pdf
Seton Employees, Seton Promise, SETONCare Plus, MAP, CCHC and Charity 85 KB pdf Referral/Precertification Form
Seton Health Plan CHIP 90 KB pdf Prior Authorization List 26 KB pdf Injectable Medication Authorization Form 22 KB pdf Medication Prior Authorization Request Form 25 KB pdf Prescription Medication Prior Authorization Process 9 KB pdf
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Prescription Drug Benefit Guides
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CHIP Benefit Documents
CHIP Evidence of Coverage and Scope of Benefits 105 KB pdf At or Below 100% FPL 133 KB pdf 101% to 150% of FPL 135 KB pdf 151% to 185% of FPL 135 KB pdf 186% to 200% of FPL 133 KB pdf Native American 133 KB pdf
Copayment Schedule 9 KB pdf CHIP Provider Manual 448 KB pdf
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Copayment Schedule 9 KB pdf CHIP Provider Manual 448 KB pdf
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