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Provider Resource Documents

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Provider Resource Documents
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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

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