Reinventing Health Care Choices.
Below is the Scott and White Health Plans data form.
In addition to the data form, you must provide the following when returning the form:
Once the data form has been processed by Scott and White, you will receive an email from our contracting department with the online contracting link.
Please return the completed data form to our Contracting Department at North American Life Plans for processing via fax (469-362-1314) or email (firstname.lastname@example.org).