Contact Us
Fill out the form below to submit your question or find phone numbers and resources under the section that applies to you. For details about nondiscrimination or getting assistance in another language, view this multi-language and nondiscrimination document.
Customer Service
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
TTY/TDD users can call 800-947-3529 (free of charge)
Plans through an Employer - 920-720-1300 or 800-826-0940
Individual and Family - 920-720-1400 or 855-275-1400
Medicare Customer Service - 920-720-1345 or 800-378-5234 (TTY 800-947-3529) Monday-Friday, 8 a.m. to 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
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
Customer Service920-720-1300 or 800-826-0940
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Enrollment920-720-1350 or 877-549-8793
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Sales920-720-1250 or 800-276-8004
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Quality Improvement |
Managed Care Contracting
Please contact your contract manager
Northeast Wisconsin Fax: 920-720-1918
Southeast Wisconsin Fax: 920-720-1989
- Contract additions, changes or terminations
- Provider additions, changes or terminations
- Provider appeals
- Becoming a Network Health provider
- Provider Dispute Process
PLEASE NOTE: Contract managers can't discuss member-specific benefits.
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
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
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
Penny Ransom
Chief Administrative Officer
920-720-1708
pransom@networkhealth.com
Network Health
1570 Midway Place
Menasha, WI 54952
800-826-0940 or 920-720-1300