Skip Navigation
Select Language

Provider Resource Documents

Scroll to learn more
Provider Resource Documents
Scroll to learn more

Change Healthcare Cybersecurity Update

Update March 22, 2024: GHC-SCW has established a backup clearinghouse relationship with Availity and is accepting claims through them. To learn how to submit claims through Availity, please click the button to the left with more information on this process.

On February 21, 2024, GHC-SCW was notified that one of our vendors, Change Healthcare, experienced a cybersecurity event. Your provider data and information with GHC-SCW are safe, as this event did not impact our systems. As a precaution, we immediately severed network connections to Change Healthcare upon notice of this event.

If you submitted claims via Change Healthcare’s clearinghouse before February 21, 2024, they will be processed normally.

Currently, claims are not being received through Change Healthcare. GHC-SCW has established a backup clearinghouse relationship with Availity and and is accepting claims through them.

Here are some helpful tips to help you submit claims.
In the meantime, you can submit claims via EpicLink or paper. GHC-SCW is also not able to provide electronic remittance reports at this time. However, you can always contact us at claimsdepartment@ghcscw.com to obtain a paper copy or find a copy within your EpicLink account.

Your provider data and information with GHC-SCW is safe.

We understand this situation may be concerning to you, and we want you to know we are taking steps to address this issue while still ensuring the safety of our systems. We will provide ongoing updates on this page to keep you informed.

Claims Information

Phone: (608) 251-4526
Fax: (608) 828-4856 (for Providers with questions on claims only)

Claims or unpaid bills should be directed to the Claims department. Bills for services provided can be submitted to the mailing address below. Please include the member number.

Group Health Cooperative of South Central Wisconsin
ATTN: Claims Department
1265 John Q Hammons Drive, Ste 200
P.O. Box 44971
Madison, WI 53717-1962

 

New Release Functionality

GHC-SCW is excited to announce a new release functionality in GHC EpicLink that now allows our vendor partners to download their Electronic Remittance Advice (ERA) or ANSI 835 files.

In order to view these files, the user will need to have a GHC EpicLink account.

Need access? Complete the GHC-SCW EpicLink Partner Agreement Form.

 

Steps to Download Files in GHC EpicLink

When you first log in, select Claim Search:
GHC EpicLink screenshot highlighting Claim Search button

Then select the Remittance Advice Search tab:
Screenhot highlighting Remittance Advice Search tab in GHC EpicLink

Enter your tax ID in the search field. If you click on the Check Number, you will see the PDF version of the RA and if you click the download icon you can download the ANSI file.
Screenshot showing where to click download icon

Developed to serve as a reference for our participating Practitioners and Providers.

The purpose of the manual is to inform you about GHC-SCW, our policies and procedures and our Quality Improvement program and initiatives.

The manual is a quick reference where you can find answers to frequently asked questions.

Additional Request Forms

To send electronic claims to GHC-SCW you must complete the setup form with our clearinghouse, Change Healthcare.

Steps to enroll through Change Healthcare:

  1. Click this link.
  2. Search for 39167 (GHC-SCW’s number) to get to the Change Healthcare form below and send it to Change Healthcare.
  3. Scroll down to find the right form. It should be called “GROUP HEALTH COOPERATIVE SOUTH CENTRAL WISCONSIN – 39167 – INST CLAIMS.”
  4. 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:

  1. Click this link.
  2. Search for 39167 (GHC-SCW’s number) to get to the Change Healthcare form below and send it to Change Healthcare.
  3. Scroll down to find the right form. It should include “Group Health Cooperative” and “Prof ERA” or “Inst ERA” in the title.
  4. 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.

Call To Action

Provider Resource Manual

If you would like a printed copy of the GHC-SCW Provider Resource Manual, please contact your provider coordinator or email us at member_services@ghcscw.com

Email Us