Network Health TPA

Summary

Network Health TPA is a regional health plan, part of Froedtert & MCW, offering dental and medical coverage operating in Wisconsin. Claims route under payer ID 22344, with 3 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, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

22344Also seen as 7732, 9681, NETWH

Also known as

Exceedent LLC, Exceedent, LLC, Network Health

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.

Common questions

What is the payer ID for Network Health TPA?

The payer ID for Network Health TPA is 22344. Alternate IDs seen across clearinghouses include 7732, 9681, NETWH.

How long does Network Health TPA provider enrollment take?

Network Health TPA 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 TPA require CAQH?

Yes. Network Health TPA uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Network Health TPA require ERA enrollment?

Yes. Network Health TPA requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Network Health TPA cover?

Network Health TPA operates in WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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