Network Health Commercial
Part of Froedtert & MCW
Summary
Network Health Commercial is a regional health plan, part of Froedtert & MCW, offering dental, medical, and vision coverage operating in Wisconsin. Claims route under payer ID 39144, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Network Health Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
39144Also seen as 10706, 1783, 3574, NETHP, NTWHL- Also known as
- Network Health Plan
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- WI
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Network Health Commercial?
- The payer ID for Network Health Commercial is 39144. Alternate IDs seen across clearinghouses include 10706, 1783, 3574, NETHP.
- How long does Network Health Commercial provider enrollment take?
- Network Health Commercial provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Network Health Commercial require CAQH?
- Yes. Network Health Commercial uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Network Health Commercial require ERA enrollment?
- Yes. Network Health Commercial requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Network Health Commercial cover?
- Network Health Commercial operates in WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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.