Group Health Cooperative of South Central Wisconsin
Part of Group Health Cooperative
Summary
Group Health Cooperative of South Central Wisconsin is a regional health plan, part of Group Health Cooperative, offering dental and medical coverage operating in Wisconsin. Claims route under payer ID 39167, with 3 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through GHC Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
39167Also seen as 10006, 1876, 8990- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- WI (south central)
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Group Health Cooperative of South Central Wisconsin?
- The payer ID for Group Health Cooperative of South Central Wisconsin is 39167. Alternate IDs seen across clearinghouses include 10006, 1876, 8990.
- How long does Group Health Cooperative of South Central Wisconsin provider enrollment take?
- Group Health Cooperative of South Central Wisconsin provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Group Health Cooperative of South Central Wisconsin require CAQH?
- Yes. Group Health Cooperative of South Central Wisconsin uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Group Health Cooperative of South Central Wisconsin require ERA enrollment?
- Yes. Group Health Cooperative of South Central Wisconsin requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Group Health Cooperative of South Central Wisconsin cover?
- Group Health Cooperative of South Central Wisconsin operates in WI (south central). Coverage can differ by plan and product line, so confirm the specific plan before you file.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.