SCAN Health Plan

Summary

SCAN Health Plan is a regional health plan, part of SCAN Group, offering dental, medical, and vision coverage operating in 4 states. Claims route under payer ID SPSCN, with 7 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through SCAN Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

SPSCNAlso seen as 10178, 2983, 4464, 72261, 72261MA, SCAN1 and 1 more

Also known as

SCAN HMO California, SCAN Health Maintenance Organization California, SCAN Health Plan California, Village Health Plan

Uses CAQH

YesApplication route: CAQH application only

Service area

AZ, CA, NV, TX

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for SCAN Health Plan?

The payer ID for SCAN Health Plan is SPSCN. Alternate IDs seen across clearinghouses include 10178, 2983, 4464, 72261.

How long does SCAN Health Plan provider enrollment take?

SCAN Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does SCAN Health Plan require CAQH?

Yes. SCAN Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does SCAN Health Plan require ERA enrollment?

Yes. SCAN Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does SCAN Health Plan cover?

SCAN Health Plan operates in AZ, CA, NV, TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.