Customer Service 

Email a Question

920-720-1300 or 800-826-0940
Mon., Wed.-Fri.: 8 a.m. to 5 p.m.
Tuesday: 8 a.m. to 4 p.m.
Fax: 920-720-1909

Plans through an Employer - 920-720-1300 or 800-826-0940 
Individual and Family - 920-720-1400 or 855-275-1400 
Medicare Customer Service - 800-378-5234 or TTY 800-947-3529 (Monday through Friday, 8 a.m. - 8 p.m.)

Case Management  

920-720-1600 or 800-236-0208 

• Questions about case management services and one-on-one help with a health problem
• Request Help with a Health Condition

My Account Member Portal 

877-814-9909 

• Password resets
• Assistance with forgotten user names
• Questions about logging in to My Account
• Questions about registering for My Account

Quality Improvement

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

CVS/caremark™ 

855-282-8476 or 800-863-5488 (TTY)
www.caremark.com

FastStart (CVS/caremark Mail Service Pharmacy)

800-875-0867
Monday - Friday, 4:30 a.m. - 7:30 p.m.
www.caremark.com/faststart

CVS Specialty Pharmacy

Must be used for commercial members requiring specialty products.

800-237-2767
Fax: 800-323-2445

Email a Question

Email a Question

Managed Care Contracting

Please contact your contract manager

Northeast Wisconsin Team:
Dawn Malueg 920-720-1701 
Jill Stoken 920-720-1505 
Liz Gillis 920-720-1517

Southeast Wisconsin Team:
Devin Crawford 262-788-9327
Jacki Mulberry 262-788-9527

Fax: 920-720-1918

• Contract additions, changes or terminations
• Provider additions, changes or terminations
• Provider appeals
• Becoming a Network Health provider
• Provider Dispute Process

Provider Informatics

920-720-1565 or 800-945-1178
Fax: 920-720-1917
provinfo@networkhealth.com

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

Customer Service

920-720-1300 or 800-826-0940
Fax: 920-720-1909

• Eligibility
• Benefits
• Claims
• Participating provider verification
• Other inquiries 

Case Management

920-720-1600 or 800-236-0208
Fax: 920-720-1903

• Authorizations
• Case management
• Utilization management

Behavioral Health Care Management

920-720-1340 or 800-555-3616
Fax: 920-720-1903

• Specific behavioral health authorizations
• Specific behavioral health case management

Quality Improvement

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

eviCore

• Register online for an account
• Online - 24 hours a day, seven days a week 
• Call - 855-727-7444, Monday-Friday, 7 a.m. to 8 p.m.
• Fax - 888-693-3210, Monday-Friday, 7 a.m. to 8 p.m.

CVS/caremark™

For calling in prescriptions: 800-378-5697
Mail Order Fax: 800-378-0323
Mail Order Address:

CVS Caremark
P.O. Box 94467
Palatine, Il 6009

CVS Prior Authorization

855-839-5206
Fax: 888-836-0730

CVS Caremark
Attn: PA Dept
1300 E. Campbell Rd
Richardson, TX 75081

CVS Customer Service

855-282-8476 or 800-863-5488 (TTY)
www.caremark.com

FastStart (CVS/caremark Mail Service Pharmacy)

800-875-0867
Monday - Friday, 4:30 a.m. - 7:30 p.m. 
www.caremark.com/faststart

CVS Specialty Pharmacy

Must be used for commercial members requiring specialty products.

800-237-2767
Fax: 800-323-2445

CVS Pharmacy Help Desk

800-364-6331 (Available 24 hours)

CVS Web Support

877-460-7766

Express Scripts (ESI)

877-415-9978 (prior authorizations)
888-468-5539 (new prescriptions)
800-417-3380 (other inquiries)
Fax: 800-636-9494

Customer Service

Email a Question

Individual and Family - 920-720-1400 or 855-275-1400
Plans through an Employer - 920-720-1300 or 800-826-0940
Fax: 920-720-1909

• Benefit questions
• Coordination of benefits
• Primary care provider changes
• Claim issues
• Ordering duplicate ID cards
• Employees out of the service area
• Dependent coverage
• Questions about coverage ending (termination dates)
• Duplicate member packets
• Name changes
• Address changes

Enrollment

920-720-1350 or 877-549-8793
Fax: 920-720-1904

• Eligibility
  • Adds, deletes and changes
  • Late enrollee questions
  • Employees out of the service area
  • Dependent coverage
  • Reinstatement issues
  • Questions about coverage ending (termination dates)
• HIPAA certificates
• Name changes
• Address changes
• Exceptions on plan changes
• New business/renewals
  • ID cards
  • New member packets
• Billing issues
• Electronic Fund Transfer issues
• Billing reconciliation
• Rate questions

Sales

920-720-1250 or 800-276-8004
Fax: 920-720-1256

• Group supplies
  • Enrollment packets
  • Enrollment forms
• Administrative materials
  • Health savings plan
  • Administration guides
  • Certificate of coverage
  • Renewals

Quality Improvement

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

Penny Ransom
Chief Administrative Officer
920-720-1708
pransom@networkhealth.com

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