Employers
Exceptional Service, Happy Members
Health Plans + Health Care = Better Together
Our goal is to provide the information, tools and resources that make your job easier. Current GHC-SCW employer groups can access the Employer Portal using the login button.
We are proud of our long-standing position as one of the “highest-rated” health insurance plans in the nation, according to NCQA’s Health Insurance Plan Ratings. You have the assurance that if you recommend GHC-SCW to one of your groups, they will get great service and excellent care. It’s one of the reason why our groups stay with us 2.5 times longer than the industry average.
Best-in-Class Primary Care + Specialty Care Partners
GHC-SCW has been among the highest rated plans in the country for over nearly three decades. And we’ve partnered with UW Health and other leading community health systems to bring their world-class care to our members.
GHC Experience Guarantee: Our Money-Back Promise
We take pride in exceeding our patients’ expectations. We’re the only area health plan to put our money where our mouth is. If a patient has an experience at a GHC-SCW clinic that doesn’t meet their standards, they can tell us about it and request a refund for their out-of-pocket costs.
Member-Owner Rewards
Discover the advantages of GHC-SCW’s Member-Owner Rewards (MOR), our member-exclusive rewards program that lets you customize your path to health and well-being.
More Clinic Options – Expanded Primary Care Network
We understand how important it is to choose a provider that meets your needs. You might care most about their location, or maybe they need to speak a specific language or understand your culture to make you more comfortable. We’ve expanded our network in Dane County to be the largest primary care network available – with more provider options so our members can choose the person that works best for them.
Employer Group Resources
Documents & Resources
Are you an employer group looking to go electronic? Please review our Enrollment Method Options PDF and then discuss options with your sales representative.
To send electronic claims to GHC-SCW you must complete the setup form with our clearinghouse, Change Healthcare.
Steps to enroll through Change Healthcare:
- Click this link.
- Search for 39167 (GHC-SCW’s number) to get to the Change Healthcare form below and send it to Change Healthcare.
- Scroll down to find the right form. It should be called “GROUP HEALTH COOPERATIVE SOUTH CENTRAL WISCONSIN – 39167 – INST CLAIMS.”
- Once you are set up with Change Healthcare they will send your claims on directly to GHC-SCW to process.
Please note the entire setup will be completed between Change Healthcare and you directly or your clearinghouse, not with GHC-SCW.
To receive electronic EOBs/ERAs you must complete the setup form with our clearinghouse, Change Healthcare.
Steps to enroll through Change Healthcare:
- Click this link.
- Search for 39167 (GHC-SCW’s number) to get to the Change Healthcare form below and send it to Change Healthcare.
- Scroll down to find the right form. It should include “Group Health Cooperative” and “Prof ERA” or “Inst ERA” in the title.
- Once you are set up with Change Healthcare they will forward your ERA form on to EDI@ghcscw.com to complete the process on our end.
Please note the entire setup will be completed between Change Healthcare and you directly or your clearinghouse, not with GHC-SCW.
Get more information: 834 Companion Guide, Version 5010
Get more information and fill out the form: EFT Authorization Form