Contact Us

Customer Service

(920) 720-1300 or (800) 826-0940    

Fax (920) 720-1909

• Eligibility inquiries        
• Benefit inquiries
• Claims status and claims payments
• Participating provider verification
• Other inquiries

Care Management

(920) 720-1600 or (800) 236-0208

Fax (920) 720-1903; Medicare Fax (920) 720-1916

• Authorizations - all other
• Case management
• Utilization management

Behavioral Health Care Management

(920) 720-1340 or (800) 555-3616

Fax (920) 720-1903

• Authorizations specific to Behavioral Health Services
• Case Management specific to Behavioral Health Services

National Imaging Associates (NIA)

(866) 642-9702 or www.RadMD.com

• Authorization requests for CT, MRI, MRA, PET, and Nuclear Cardiology scans
• Clinical Guidelines: Go to www.RadMD.com
• Register for Online Authorizations: Go to www.RadMD.com

Express Scripts (ESI)

• Dedicated Prior Authorizations: (877) 415-9978 
• New prescriptions: (888) 468-5539 or Fax (800) 636-9494
• Other information:  (800) 417-3380

Network Development

(920) 720-1550 or (800) 207-5769

Fax (920) 720-1917

• Contract additions, changes or terminations
• Provider additions, changes or terminations
• Provider appeals
• Become a Network Health Plan Provider

Provider Informatics

(920) 720-1565 or (800) 945-1178

provdatasvs@networkhealth.com

Fax (920) 720-1917

• Confirmation of specific provider participation
• Notification and verification of:
  • Provider names
  • Provider practice locations
  • Providers with closed practices
  • Federal Tax ID number verification

Quality Improvement

(920) 720-1655 or (800) 826-0940, ext 1655

Our Location

1570 Midway Place
Menasha, WI  54952
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