INSURER FILING GUIDE
Baylor Scott and White Health Plan
Use this public information to prepare your packet, then confirm the route on the insurer's own page.
AT A GLANCE
Claim facts
| Member form | |
|---|---|
| Portal upload | YES |
| Portal path | Member portal > secure message to Customer Service with the form attached; exact signed-in menu label is Not published by the insurer and UNREADABLE |
| Mail address | Baylor Scott & White Health Plan, Attn: Pay Me, 1206 West Campus Drive, Temple, TX 76502 |
| Fax | Not published by the insurer |
| Attachments | Member receiving service; subscriber name; member number; date of service; charge for each service or line; amount paid; CPT code or service description; diagnosis code or description; medication and amount if applicable; provider name; provider address; NPI; tax ID; proof of payment |
| Deadline | Not published by the insurer: the form says benefit-plan timelines apply |
| Outcome and status | Member Portal shows claims and EOBs |
| Processing time | Not published by the insurer |
| Caveats | The claim form says it is for urgent or emergency out-of-network care, while the FAQ describes direct member reimbursement whenever an out-of-network benefit exists; routine outpatient therapy eligibility is Not published by the insurer. HMO routine out-of-network care is generally not paid without approval. Medicare Advantage and Medicaid are excluded |
STEP BY STEP
Filing steps
Source: https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf
Read date: 10-09-2026
Research steps
- Confirm that the benefit includes routine out-of-network therapy before preparing the package. The form says it is for urgent or emergency out-of-network care, while the FAQ separately describes reimbursement when an out-of-network benefit exists. Routine therapy eligibility is NOT PUBLISHED. https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf
- Complete the Medical Claim Form and select
Pay to Member. Use one form per provider. https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf - Attach the detailed provider claim or superbill and proof of payment. The attachment must identify the member, subscriber, member number, each service and charge, amount paid, procedure and diagnosis information, applicable medication, and the provider's name, address, NPI, and tax ID. https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf
- Open the MyBSWHealth member portal and send the form securely to Customer Service. https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf
- NOT PUBLISHED: the exact signed-in menu labels, file types, size limit, file count, document-combination rule, and confirmation. The signed-in portal is UNREADABLE without an account.
- View the processed claim and EOB in the Member Portal. https://www.bswhealthplan.com/faq
- NOT PUBLISHED: a universal filing deadline. The form says the benefit plan's timelines apply. https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf
Filing facts
- Portal upload: YES
- Portal: MyBSWHealth member portal
- Portal path: Member portal > secure message to Customer Service with the form attached; exact signed-in menu label is NOT PUBLISHED and UNREADABLE
- Mail address: Baylor Scott & White Health Plan, Attn: Pay Me, 1206 West Campus Drive, Temple, TX 76502
- Fax: NOT PUBLISHED
- Attach: member receiving service; subscriber name; member number; date of service; charge for each service or line; amount paid; CPT code or service description; diagnosis code or description; medication and amount if applicable; provider name; provider address; NPI; tax ID; proof of payment
- File types: NOT PUBLISHED
- File size limit: NOT PUBLISHED
- Maximum files: NOT PUBLISHED
- One file or separate files: NOT PUBLISHED
- Confirmation: NOT PUBLISHED
- Status check: Member Portal shows claims and EOBs
- Processing time: NOT PUBLISHED
- Member deadline: NOT PUBLISHED: the form says benefit-plan timelines apply
- Deadline basis: YES: product and benefit plan control
- Mental health route: NOT PUBLISHED: no separate behavioral claim portal route was found
Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.
Read on 10-09-2026 from https://wadcdnstorageprod.blob.core.windows.net/bswhp/BSWH/InsuredMedicalClaimForm.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.