Home
|
Contact
First Choice
First Choice Miembro
First Choice Kids
FC Kids Miembro
Provider
Pharmacy
Home
>
Provider
> Provider Forms
Share:
Facebook
Twitter
Text size:
A
A
A
Provider Forms
Provider
Secured Services
Provider Communications
Credentialing
Manuals
Health Literacy Resource Guide
HIPAA
Provider Newsletter
Provider Forms
National Provider Identifier
Provider Toolkit
Provider Map - First Choice Operational Counties
Provider Services
Provider Trainings
Cultural Competency
Provider Survey
Pharmacy
Provider Directory
Billing
Updates
Billing Manual
Clinical Information
Preventive Health Guidelines
Clinical Practice Guidelines
Health & Wellness Information
First Choice Prior Authorization Grid
First Choice Kids Prior Authorization Grid
EPSDT Quick Reference Guide
Member Rights & Responsibilities
Medical Records Review Standards
Contact Us
Credentialing and Recredentialing Forms
17-P Authorization Form
Delivery Notification Worksheet
DME Request for Authorization
Non-Contracted Provider Form
Outpatient Treatment Request for Mental Health Services
Outpatient Treatment Request for Substance Abuse Services
Overpayment Worksheet
Pharmacy Prior Authorization Form
Pre-Authorization Request for Psychological/Neurpsychological Testing
Pregnancy Risk Assessment Form
PT/OT/ST/Chiro Request for Authorization
Home
Find a Doctor
Contact Us
Print This Page
Site Map
Preferred Drug List
NaviNet
Provider Communications
Notice of Privacy Practices
Select Health
Select Health of South Carolina
4390 Belle Oaks Drive, Suite 400
N. Charleston, SC 29405
Local: 843.569.1759
Toll-Free: 1.800.741.6605
First Choice Community Center
3315 Broad River Road
Columbia, SC 29210
Local: 803.731.1207
© 2010 Select Health of South Carolina Inc. All rights reserved.
Privacy Policy
and
Terms of Use
.
Visit
AmeriHealth Mercy - The Industry Leader & Expert in Medicaid Managed Care