Provider Documents and Forms

Please contact SharedCare at 541-647-1765 for more information.

Documents

• Non-Covered Services
• Prescription Drug Formulary
• Medical Service Requiring Prior Authorization
• 2012 Provider Policy Manual
• PCP Provider Specialist List

Forms

• SC Preauthorization Request Form
• SC Referral Request Form
• Claims Status Request Form
• Provider Claims Appeal Form

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The SharedCare Plan is available to uninsured owners, sole proprietors and 1099 contractors.