​Change in Claims Processing

Senior Choice and Senior Preferred Changes for January 1, 2018

Changes are coming regarding the implementation of claims processing for:

  • Senior Preferred
  • Senior Choice
  • Gundersen Health Plan products

This will become effective January 1, 2018. 

Changes will include:

  • Access to the secure portal (MyPlanTools.com) that allows providers to:
    • View a members’ benefits information including the Summary of Benefits & Coverage
    • View the Prior Authorization List
    • Request a Prior Authorization
    • Check the status of Prior Authorizations
    • View benefits accumulation
    • Check remittance advices
    • Access forms
    • View the ACH provider guide

New look & feel of Senior Choice ID cards

Senior Choice cards will be printed on paper stock and feature the Quartz logo

Senior Choice ID Card

Note: Claims will now pass through a Coding Edit Software System.

Claims for Senior Preferred, Senior Choice and Gundersen Health Plan should be submitted to:

PO Box 520,
Sauk City WI, 53583
(This includes claims for GHP and GHP MN.)

Stay tuned for further information about these changes.

As Gundersen, Unity and Physicians Plus continue their integration journey, please be aware of the following upcoming changes that will occur on January 1:

  • All Unity MA (BadgerCare) membership will move to the Gundersen Health Plan, Inc. license.
  • All Physicians Plus and Gundersen ETF membership will move to ​the Unity Health Plans Insurance Corporation license.