Provider Resources

Policies and Forms

Network Health's policies are reviewed and updated annually. It is your responsibility to check this page often for new and/or revised policy changes.

Medicare Policies and Forms

We have collected information related to our Medicare processes, policies and procedures into one reference page called the Provider Medicare Manual.

Authorization Lists and Forms

Review authorization submission and response timelines, find listed services that require prior authorization for general medicine, pharmacy, genetic testing and experimental or investigational services. 

Medicare Plans
Commercial Plans

View 2018 Sample Member ID cards for help identifying patient plan types and benefits.

 

Appeals and Grievances Policies and Forms

For more information on the grievance process as well as member rights and responsibilities, please visit our legal page

Commercial Grievance Form
Grievance and Appeals Resolution Policy and Procedure
for Medicare Advantage Plans Part D

Grievance and Appeals Resolution Policy and Procedure
for Medicare Advantage Plans Part C

 

Credentialing Policies and Procedures

View policies and procedures related to credentailing, recredentialing and provider data maintenance for contracted providers.  

 


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.