Quartz offers the Determination of Benefits Form to help you determine costs you may incur prior to receiving health care services. To complete the form, you will have to ask your provider for certain medical coding information including procedure codes, procedure modifiers and unit codes for the services.
ETF Quick Links
Unity Health Plans Insurance Corporation administers the Uniform Benefits for the State of Wisconsin and Wisconsin Public Employers Group Health Insurance program as determined by the Group Insurance Board.
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Quartz Health Solutions, Inc., Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc., Gundersen Health Plan Minnesota, Physicians Plus Insurance Corporation, Gundersen Health System, UnityPoint Health and UW Health are separate legal entities. Plans are underwritten by Unity Health Plans Insurance Corporation unless otherwise noted.