Providers_home_page

WELCOME HEALTHCARE PROVIDERS

At Gundersen Health Plan (GHP), we continuously monitor and evaluate the availability of care and services provided in our network. Our ongoing assessment of the Health Plan’s geographic region allows us to ensure we have adequate services throughout the network.

Provider Portal

The Provider Portal allows providers to check eligibility and claim status as well as view explanation of payment (EOP) statements online. The portal is also a tool providers use for updates required by GHP, such as the quarterly CMS verification updates for the directory listings and annual Facility Operations Form updates.

We now have two provider portals. Please select the appropriate link - 

  • If the member's number begins with 70, 80, or 90, login here
  • If the member's number begins with 713 or 714, login here.

Claims, benefits and eligibility

If you would like to request a prior authorization or need to speak to a customer service representative about benefits, eligibility or claims status, please contact Customer Service at (800) 897-1923 or (608) 881-8271.

General questions 

If you are a healthcare provider and would like us to review your request to join our network, please complete the Provider Participation Request Form and send to rfs.inboxprovidernetworkmgmt@quartzbenefits.com or call (608) 881-8232 to speak with a Provider Relations representative.