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Welcome Providers

We Help You to Help Your Patients.

Senior Whole Health now offers Electronic Remittance (ERA) and Electronic Fund Transfer (EFT). If you are currently enrolled with Change Healthcare ERA or EFT you should be seeing your payments electronically. If you are not enrolled, you can switch from paper to electronic payments over the phone, online, through the mail or via fax.

Senior Whole Health is dedicated to providing our members with the best care possible and keeping them healthy and independent.

Senior Whole Health Nurse Care Managers are assigned to each member. These nurses help plan, organize and arrange services to effectively coordinate medical, behavioral, pharmaceutical, and social and community based services with the providers, local elder services agency and others involved in our members' care. Senior Whole Health Nurse Care Managers are available by phone 24/7 to both our providers and members in order to best facilitate treatment.

The result is a comprehensive, team-based care plan that anticipates and adapts to the changing needs of each member, striving to keep them secure, independent and living in the comfort of their own home.

Click here to view the Senior Whole Health Provider Manual (PDF).

Senior Whole Health's Dental Provider Manual is available through SKYGEN USA’s Provider Portal. 

Click here to view Senior Whole Health's HEDIS® Measures of Focus (2019) (PDF).

Click here to view Senior Whole Health's HEDIS® Tips for Quality Care (PDF).

Provider Webinar: How to build resilience and adaptive skills during the pandemic Join us on April 2, 2020 at 1 p.m. EST to discuss tips for caring for the emotional health and wellness of you and your family during these uncertain times. Learn more or register now. If you missed the live webinar, the recording is posted here

Enroll in Medicare as a Provider Now! Learn more.

Visit the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) to securely and electronically submit and manage Medicare enrollment information.

First Tier, Downstream, and Related Entities (FDR) Compliance Guide & Attestation: Click here to review and complete the FDR Annual Compliance Attestation

Click here to view information about False Claims Act laws. Senior Whole Health encourages you to report fraud or suspected fraud by calling the SWH Fraud Hotline at 1-800-341-4915, our anonymous compliance hotline at 1-800-915-2108 or the Main SIU Hotline at 1-800-755-0850.

Click here to view Senior Whole Health's Fraud Waste and Abuse Policy.

Last Updated 04/07/2020