Contact Us
CGHC strives to make it easy for you to work with us, whether online or over the phone.
For questions not addressed on our website, please call Provider Services at 1-877-514-2442. Monday through Friday from 8 a.m. to 5 p.m. Central Time (CT).
You can do business with us online any time of the day or night. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits and more.
Key Contact Information
Below is a list of the plan’s phone numbers for general questions, prior authorizations, claim inquiries and more, as well as common fax numbers and addresses. Use this list as a guide to help you find the appropriate contact for your questions.
| Department | Phone | Additional Information |
|---|---|---|
Provider Services | ||
Claims | Common Ground Healthcare Cooperative | |
Appeals | Common Ground Healthcare Cooperative | |
Medical Prior Authorization | Fax: 1-844-676-0372 | |
Evolent – formerly known as NIA/RadMD | Fax: 1-800-784-6864 Peer to Peer – same as phone | |
Nant Health – also known as Eviti | Fax: 1-888-468-1423 Peer to Peer: 1-866-968-7482 | |
Turning Point | Fax: 1-414-400-9404 Peer to Peer: 1-800-581-3920 | |
CareSource UM (MHK tool used for specialty infusion) | Medical Phone – no phone number | Fax: 1-844-676-0372 Peer to Peer: 1-833-230-2168 |
Specialty Medications Phone – no phone number | Fax: 1-888-399-0271 Peer to Peer: 1-833-230-2168 | |
Pharmacy Prior Authorization | Prior authorization requests for medications covered under:
|
Wisconsin Providers – Meet Your Provider Engagement Specialist!
Wisconsin Contact Information:
Common Ground Healthcare Cooperative
Sunshine Alvarez
414-375-4090
salvarez@commongroundhealthcare.org