How To Submit Claims To Network Health

Coverage: Wisconsin Network Health plans; confirm commercial, Medicare PPO or Assure product and provider contract.

Network Health claims guidance from the reviewed sources: Electronic/EDI claims. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

• Submit electronic claims through EDI; submit the entire original claim for a correction.

Submission channels

• Electronic/EDI claims.

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Not clearly published in the researched sources.

Corrected claims and follow-up

• Include all original claim lines, identify the correction in the EDI remarks or notes, and supply the original claim number and appropriate resubmission indicator.

• Claims status resource 1

Caveats

• Do not send only changed lines. Verify product routing and review EDI rejections in the provider portal.

Provider resources

• Official provider policy or review source (official)
• Official provider policy or review source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed the official claim submission policy, claims resources and authorization page. Retained separately triggered filing periods; omitted unneeded payer IDs and postal addresses. Contract and product verification remain necessary.