Security Health Plan of Wisconsin
Also covers / subsidiaries: Security Health Plan
Core Payer & Clearinghouse Profile
Electronic Payer ID
10864
39045 listed for professional (CMS-1500) and institutional (UB-04).
Timely Filing Limit (TFL)
365 days from DOS for original claims (corrections: 365 days from DOS or 60 days from payment/denial, whichever is later)
Appeal Window
365 calendar days from the provider statement (Commercial); 65 days for Medicare Advantage
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
800-548-1224
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Security Health Plan, 1515 North Saint Joseph Avenue, P.O. Box 8000, Marshfield, WI 54449-8000
Provider Portal
https://www.securityhealth.org/providers
Wisconsin-based, part of Sanford Health; also Medicare Advantage, Medicaid/BadgerCare, Medicare Supplement.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Security Health Plan of Wisconsin.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Security Health Plan of Wisconsin.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Security Health Plan | 10864 | Par | None | 837P837I270/271Dental |
| Security Health Plan | 39045 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Security Health Plan of Wisconsin Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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