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CredNet

Prevea360 Health Plan

Part of Prevea Health / Hospital Sisters Health System

Regional planPayer parent
Typical enrollment turnaround
60-90 days

Summary

Prevea360 Health Plan is a regional health plan, part of Prevea Health / Hospital Sisters Health System, operating in Wisconsin. It spans multiple plans and regional payers, so individual plans carry their own payer IDs. Provider enrollment typically takes 60-90 days, with applications through Prevea360 Provider Portal, and CAQH is used for credentialing data.

At a glance

Uses CAQH
YesApplication route: CAQH application only
Service area
WI (NE WI)

This is a payer parent page: the program spans multiple plans, so there is no single clearinghouse payer ID. Each associated payer below carries its own IDs and setup details.

Common questions

How long does Prevea360 Health Plan provider enrollment take?
Prevea360 Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Prevea360 Health Plan require CAQH?
Yes. Prevea360 Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
What states does Prevea360 Health Plan cover?
Prevea360 Health Plan operates in WI (NE WI). 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 Spot something out of date?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.