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Payer Directory
How to check Group Health Cooperative of South Central Wisconsin eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. Group Health Cooperative of South Central Wisconsin has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.
Payer ID
39167Screen agent · setup requiredCommercial · MedicareThree ways to verify Group Health Cooperative of South Central Wisconsin coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Group Health Cooperative of South Central Wisconsin at a glance
What billers need before running a check.
Payer ID
39167Also known as 10006, 1876, 8990
Real-time eligibility
Via screen agent
Group Health Cooperative of South Central Wisconsin has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
dental, medical
Commercial · Medicare
Operating area
Wisconsin
Payer website
ghcscw.comSupported transactions
What can be exchanged electronically with Group Health Cooperative of South Central Wisconsin today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Portal vs. phone vs. automated
The same verification, three ways.
| Payer portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$7.97 staff time* | ~$7.97+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Group Health Cooperative of South Central Wisconsin?+–
Group Health Cooperative of South Central Wisconsin uses payer ID 39167. It also appears as 10006, 1876, 8990 in some systems.
Does Group Health Cooperative of South Central Wisconsin support real-time eligibility verification?+–
Group Health Cooperative of South Central Wisconsin has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a Group Health Cooperative of South Central Wisconsin eligibility check take?+–
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.
Run your first Group Health Cooperative of South Central Wisconsin eligibility check
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
Billing more than Group Health Cooperative of South Central Wisconsin? — upload it and see which of your payers run automatically.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
