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Provider Resources

Claims Policies and Procedures

Network Health’s goal is to process all claims at initial submission. Before we can process a claim, it must be a clean or complete claim submission. If any of the necessary information is missing from the claim, we will not be able to process your claim in a timely fashion.

To facilitate the timely processing of your claim(s), please follow the Claims Policies and Procedures  provided below. 
All Claims Policies and Procedures apply to participating and non-participating providers.

Mail claims to: Network Health, P.O. Box 568, Menasha, WI 54952

Network Health Claims Policies and Procedures are intended as a general reference/resource and are not intended to address every aspect of a reimbursement situation. Network Health uses reasonable discretion interpreting and applying these procedures to services being delivered. The claims policies/procedures are not intended to cover all topics and issues related to reimbursement for services rendered to Network Health members/participants.

The Claims Policies and Procedures are property of Network Health and unauthorized copying, use and distribution are strictly prohibited. Network Health reserves the right to terminate, change, suspend or discontinue any claims policies/procedures at anytime without notice. Changes in the claims policies/ procedures will be made effective when posted on this site. The claims policies/procedures are provided on an “as is” and “as available” basis without warranties of any kind, either express or implied.

 


Network Health
1570 Midway Place
Menasha, WI 54952
Hours
Mon., Wed.-Fri.: 8 a.m. to 5 p.m.
Tuesday: 8 a.m. to 4 p.m.