Credentialing FAQs

Anyone who provides services covered by Dell Children’s Health Plan may apply to be contracted. However, applying does not always mean you will receive a contract. All requests are looked at to make sure members can work with quality providers in the network. Providers can apply using the online form on our Seton Health Plan Website.

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The provider manual can be found here.

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Please check our Provider page to find training materials. You can also register for upcoming provider training webinars by contacting Provider Relations.

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Providers can access the prior authorization forms and other downloadable forms at www.magellanhealth.com.

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Providers can access the prior authorization forms and other downloadable forms here or email SHPProviderServices@seton.org.

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Dell Children’s Health Plan providers can use a web-based self-service application through the provider portal. This lets providers check patient eligibility, claims status, authorization submission and authorization status.

If you would like to create an account, please register here for the provider portal.

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  • The provider’s information may not have been submitted yet.
  • The provider has been linked to the site but the Provider Directory has not been updated yet.
  • The application has not yet been received OR is currently undergoing credentialing.

If you have questions about the online directory, please contact Provider Engagement.

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Please email us at SHPProviderServices@seton.org for any changes to a provider’s address, phone number, group affiliation and other updates.

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For claims-related questions, contact Provider Services at 1-844-781-2343 or by email at shpproviderservices@seton.org.

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Questions regarding Dell Children’s Health Plan members should be directed to Member Services at 1-855-921-6284.

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Dell Children’s Health Plan values your feedback. Dell Children’s Health Plan accepts provider complaints orally, as well as via mail, fax and email. Oral complaints may be submitted through Provider Services at 1-844-781-2343 or through local Provider Relations representatives. Written provider complaints should be mailed to the following address:

Dell Children’s Health Plan
1345 Philomena St., Suite 305
Austin, Texas 78723

Written complaints can also be sent to the attention of the Provider Relations or faxed to 512-380-7547. Complaints may also be sent in a secure email to dchpcomplaints@ascension.org.

If a provider is not satisfied with the resolution of the complaint by Dell Children’s Health Plan, a complaint may be submitted to the Health and Human Services Commission.

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