Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

fax appeals

Security Health Plan (WI) post-service claim payment/denial appeals

Official page read

Phone

No phone listed for this route

Fax

715-221-9650

Published email

shp.claims.provider.appeals-mfld@Sanfordhealth.org

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Wisconsin

Mailing address

Security Health Plan Attn: Claims Department Appeals P.O. Box 8000 Marshfield, WI 54449-8000

Post-service claim payment/denial appeals

Use the Formal Provider Appeal form. Commercial, Medicare Advantage, FHC and Medicare Supplement: within 365 days; BadgerCare: within 60 days. Policy last updated Oct. 6, 2026.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Security Health Plan (WI) pre-service / medical necessity appeals and Health Services

Official page read

Phone715-221-9659Published email

shp.claims.provider.appeals-mfld@Sanfordhealth.org

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Wisconsin

Mailing address

Security Health Plan Attn: Medical Director P.O. Box 8000 Marshfield, WI 54449-8000

Pre-service or medical necessity denial appeals

Menu guidance in the source record

Option 1 for a prospective review with a Medical Director

Menus can change. No live call verification is claimed.

Prospective reviews by phone with a Medical Director; expedited appeals for current inpatients (concurrent review) via the Health Services Department; retrospective reviews must be written within 60 days of the adverse determination.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member

Questions to resolve

Is this a claim correction, provider dispute or member appeal?
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