If so, please fill out the information below.
*Facility Name
*First Name
*Last Name
*Address
*City
*State
*ZIP Code
*Phone Number
*Email
Suggestions
If you know someone in your organization that would benefit from receiving Provider Notes by U.S. Mail, please contact:
CCHP Provider Relations 844-229-2775 Monday - Friday, 7:30 a.m. to 5 p.m.
If you have questions about CCHP email communications or need to locate a certain Provider Notes Issue, please email our provider communications specialist at cchp-providernews@chw.org.
Thank you for your submission! Your information is currently being processed.
Claims-related, mail to: Children’s Community Health Plan Attn: Claims P.O. Box 56099 Madison, WI 53705
Clinical-Related, mail to: Children’s Community Health Plan Attn: Clinical Services-UM Department P.O. Box 1997-6280 Milwaukee, WI 53201-1997
Portal registration questions 414-266-5747
Claims, clinical & general questions 800-482-8010