Security Health Plan provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.securityhealth.org/providers |
|---|---|
| Payer contact reference | 1-800-548-1224Provider customer service; identify the member product before requesting claim, eligibility or authorization support. |
| Claims payer ID | Security Health claims: 39045. Insite claims: 35202. Confirm the specific product; the baseline 39184 is not supported by the reviewed claims instructions. |
| Eligibility payer ID | 39184 — registry reference; verify the member product, transaction and clearinghouse |
| ERA payer ID | 39184 — registry reference; verify the member product, transaction and clearinghouse |
| Timely filing | Product and contract-specific initial filing |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- Provider customer service; identify the member product before requesting claim, eligibility or authorization support.
- Affiliated commercial original claims generally use 180 days; the source distinguishes BadgerCare/Medicare Advantage at 365 days and non-affiliated commercial at 15 months. Confirm contract, FHC, COB and start-event rules.
- This registry has not established a payer-specific appeal ladder for Security Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Security Health Plan at a glance
| Legal name | Security Health Plan of Wisconsin, Inc. |
|---|---|
| Also known as | SHP WI, Marshfield Clinic Health Plan |
| Category | Commercial |
| Parent organization | Marshfield Clinic Health System |
| Claims payer ID | Security Health claims: 39045. Insite claims: 35202. Confirm the specific product; the baseline 39184 is not supported by the reviewed claims instructions. |
| Eligibility (270/271) payer ID | 39184 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 39184 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Wisconsin |
| Members covered | ~220k members |
| Provider resource entry point | https://www.securityhealth.org/providers |
| Provider phone | 1-800-548-1224Provider customer service; identify the member product before requesting claim, eligibility or authorization support. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Security Health Plan
Affiliated commercial original claims generally use 180 days; the source distinguishes BadgerCare/Medicare Advantage at 365 days and non-affiliated commercial at 15 months. Confirm contract, FHC, COB and start-event rules.
| Submission type | Window |
|---|---|
| Initial claim reference | Product and contract-specific initial filing |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Security Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Security Health Plan provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Security Health Plan
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Security Health Plan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Security Health Plan. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Security Health Plan
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Security Health Plan volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | Security Health claims: 39045. Insite claims: 35202. Confirm the specific product; the baseline 39184 is not supported by the reviewed claims instructions. |
| 270 / 271 eligibility | Listed in registry; verify current scope | 39184 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 39184 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Claims routing evidence does not independently verify eligibility, ERA enrollment, or X12 278 support. Confirm each transaction separately.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
payer_ids.claims
Source comparison: 2026-09-26
Official CMS1500 instructions identify 39045 for Security Health and 35202 for Insite; baseline 39184 is not supported.
Primary source for payer_ids.claimsprovider_phone / portal_url
Source comparison: 2026-09-26
Provider customer service is 800-548-1224 and the manual directs providers to securityhealth.org/providers for claim/eligibility/auth information.
Primary source for provider_phone / portal_urltimely_filing_days
Source comparison: 2026-09-26
180 days covers affiliated commercial original claims. BadgerCare and MA use 365 days; non-affiliated commercial uses 15 months; contract, FHC and COB rules differ.
Primary source for timely_filing_dayselectronic_claims_supported / supports_279_271
Source comparison: 2026-09-26
The payer documents 837 enrollment and a 270/271 companion guide.
Primary source for electronic_claims_supported / supports_279_271
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; payer_ids.eligibility / payer_ids.era / era_payer_id / supports_278: Claim IDs cannot be copied to eligibility/ERA; portal authorization does not establish X12 278..
Sources used for this guide
State coverage
Security Health Plan operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Security Health Plan
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Security Health Plan; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Security Health Plan; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Security Health Plan before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Security Health Plan
Where is the Security Health Plan provider portal?
Use https://www.securityhealth.org/providers as a starting point for Security Health Plan provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Security Health Plan?
Affiliated commercial original claims generally use 180 days; the source distinguishes BadgerCare/Medicare Advantage at 365 days and non-affiliated commercial at 15 months. Confirm contract, FHC, COB and start-event rules.
What is the Security Health Plan payer ID?
Claims: Security Health claims: 39045. Insite claims: 35202. Confirm the specific product; the baseline 39184 is not supported by the reviewed claims instructions.. Eligibility (270/271): 39184 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 39184 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Security Health Plan accept electronic claims?
Verify Security Health Plan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Security Health Plan denial?
This registry has not established a payer-specific appeal ladder for Security Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Security Health Plan prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Security Health Plan provider phone number?
This registry lists 1-800-548-1224 as a contact reference for Security Health Plan. Provider customer service; identify the member product before requesting claim, eligibility or authorization support.
Automate workflows around Security Health Plan requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Security Health Plan's current published documents before submission. CPT® is a registered trademark of the American Medical Association.