UW Health ORIENTATION MANUAL 2019
This document is designed to help orient you to UW Health, including SwedishAmerican and UnityPoint Health – Meriter, and to clarify billing practices and payment processes. Please note that all locations may not be included in every contract arrangement. Physicians and non-physician professionals also provide regional specialty services and other services at a variety of locations that may or may not fall under a given contractual arrangement.
This information will provide you with an overview of the components of the health systems, as well as assist you and your staff in day-to-day activities involved in administering provider agreements with UW Health.
Every effort has been made to ensure accuracy, however, such information can become outdated quickly. The reader is advised to confirm critical information by phone or email. This document is updated annually and can be obtained online or by contacting UW Health Managed Care Contracting at (608) 828-8603.
uwhealth.org
Update 2019 RA-394909-19 TABLE OF CONTENTS
Welcome to UW Health...... 2
Credentialing...... 4
Health Information – Release of Information ...... 6
Hospital Audit Policies ...... 7
Billing and Reimbursement ...... 9 UW Health Service Locations/Billing & Payment Information ...... 9 UW Health Optical Service Locations/Billing & Payment Information...... 11 Other Affiliated Entities Service Locations/Billing & Payment Information...... 12 SwedishAmerican Service Locations/Billing & Payment Information ...... 13 UnityPoint Health - Meriter Service Locations/Billing & Payment Information ...... 15 Welcome to UW Health
UW Health is the integrated health system of the University of Wisconsin-Madison, serving more than 600,000 patients each year in the Upper Midwest and beyond with 1,750 employed physicians and 21,000 staff at seven hospitals and 86 outpatient sites. UW Health is governed by the UW Hospitals and Clinics Authority and partners with UW School of Medicine and Public Health to fulfill shared missions of patient care, research, education and community service.
UW Health is a nationally recognized health system that includes: • University Hospital • UW Health at The American Center • American Family Children's Hospital • UW Health Rehabilitation Hospital • UW Health Regional Hospitals: SwedishAmerican Hospital, located in Rockford, Illinois, and an associated inpatient/outpatient medical center in Belvidere, Illinois • Six Regional Cancer Centers: o Beloit Cancer Center (Beloit, WI) o FHN Leonard C. Ferguson Cancer Center (Freeport, IL) o SwedishAmerican Regional Cancer Center (Rockford, IL) o UW Cancer Center at ProHealth Care (Pewaukee, WI) o UW Cancer Center Johnson Creek (Johnson Creek, WI) o Aspirus UW Cancer Center (Wisconsin Rapids, WI) • Regional services specialty clinics in more than 80 locations • University of Wisconsin Medical Foundation, the state's second-largest medical practice group, representing 1,700 faculty physicians of the University of Wisconsin School of Medicine and Public Health • Quartz Health Solutions, an organization that manages services for the health insurance plans of Unity Health Insurance and Gundersen Health Plan. Quartz services more than 350,000 members who live in southern and western Wisconsin, parts of Illinois, Iowa and Minnesota. Quartz also provides administrative services for self-funded health plans • University Health Care, a not-for-profit membership corporation that facilitates clinical relationships with regional providers and contracting relationships with insurance companies • Joint Ventures and affiliations including cancer centers, surgery centers, dialysis programs, home health, infusion, and many other programs and services • Joint Operating Agreement o UnityPoint Health - Meriter (UPH-M), a 448-bed community-based hospital providing a range of medical and surgical services for residents of Dane County and surrounding communities o UnityPoint Health - Meriter Clinics - as part of UnityPoint Health - Meriter, this organization offers adults and children primary and specialty care services throughout Dane County
uwhealth.org 2 UW Health Managed Care Contracting
UW Health holds more than 90 managed care agreements to deliver primary and specialty health care services locally, regionally and nationwide. UW Health contracts on behalf of University of Wisconsin Hospitals and Clinics (UWHC), University of Wisconsin Medical Foundation (UWMF), University of Wisconsin School of Medicine and Public Health (UWSMPH), Chartwell Midwest Wisconsin (CMW), Generations Fertility Care (GFC), Madison Surgery Center (MSC), Transformations Surgery Center (TSC), UW Health Rehabilitation Hospital (UWRH), Wisconsin Sleep, Inc. (WSI), SwedishAmerican Health System (SAHS), and UnityPoint Health - Meriter (UPH-M), including:
UnityPoint Health - Meriter Hospital UnityPoint Health - Meriter Clinics UnityPoint at Home UnityPoint Health - Meriter Laboratories Not all entities may be contracted through UW Health. Please contact your UW Health Managed Care Account Manager for more information.
Managed Care Managed Care Managed Care (SAHS) Vice President Executive Assistant Director Mark Johnson Jeanine Radel Kevin Lewis (608) 265-2542 (608) 828-8603 (779) 696-7013 [email protected] [email protected] [email protected]
Managed Care Managed Care Account Manager Account Manager Lori Madden Jodi Schaaf (608) 263-9737 (608) 265-0129 [email protected] [email protected]
uwhealth.org 3 Credentialing
UW Health Medical Staff Affairs and Credentialing All physicians, advance practice nurses, and physician assistants who practice at UW Health, must be credentialed through the Medical Staff Affairs Office. The process meets state and federal law and The Joint Commission (TJC) standards. This process is also consistent with National Committee for Quality Assurance (NCQA) standards. We verify licensure, DEA registration, malpractice insurance, board certification, professional school graduation, post-graduate training and staff affiliations. Medical Staff Affairs works with the clinical departments, providers, and various committees to ensure timely processing of each application. They provide verification of current and past UW Health affiliation. Questions regarding credentialing and privileging procedures should be directed to Medical Staff Affairs at (608) 263-6601 or [email protected]. The Medical Staff Affairs Office also provides administrative support to the Medical Staff organization. These activities include coordinating the activities of the Medical Board, the annual revision of the bylaws and the functions of the standing committees of the medical staff. Questions regarding the administrative functions of the medical staff should be directed to Michele Klaus at (608) 890-7527 or [email protected].
SwedishAmerican Health System Medical Staff Services and Credentialing All physicians, podiatrists, dentists, advanced practice registered nurses and physician assistants who practice at SwedishAmerican/A Division of UW Health must be credentialed and privileged through the Medical Staff Services Department. SwedishAmerican Health System’s credentialing program is the premier credentialing system in the region. The credentialing process exceeds the elements required by TJC, Centers for Medicare & Medicaid Services (CMS), and the NCQA. The requirements of these entities are used as a baseline from which we have built our program. A leader in the region, we integrate and maintain best practices for credentialing and privileging. Medical Staff Services works side by side with each applicant, Physician Resources, exclusive contracted entities, and all independent entities, to ensure timely completion of the credentialing process for each applicant. Questions regarding credentialing, privileging, and medical staff structure, should be directed to the Medical Staff Services Department at (779) 696-2097 or [email protected]. The Medical Staff Services Department also provides administrative and compliance support to the medical staff as a whole, including medical education resources. Some of these activities include medical staff bylaws and leadership support, to ensure continued compliance with regulatory and accreditation bodies. As evidenced by our lack of negligent credentialing lawsuits, SwedishAmerican Health System continues to set the bar in the region for credentialing practices for both hospital and health plans.
uwhealth.org 4 UnityPoint Health - Meriter Medical Staff Services and Credentialing All physicians, dentists, podiatrists, psychologists, certified nurse midwives, advance practice nurses, and physician assistants who practice at UPH-M must be credentialed through the Medical Staff Office. The process meets state and federal law, TJC standards and NCQA standards. Prior to the granting of hospital or clinic privileges, all education, training, current competence, malpractice claims history and coverage, licenses and registrations, and staff affiliations will be reviewed and verified. The Medical Staff Office works with the providers, department chairs, and various committees to ensure timely processing of each application. The Medical Staff Office also provides verification of past and current affiliation. Questions regarding the credentialing and privileging process for UPH-M can be directed to the Medical Staff Office at (608) 417-6326 or by email to: [email protected] or [email protected]. In addition to credentialing, the Medical Staff Office also provides administrative support to the organized medical staff, including coordinating and staffing the Medical Executive Committee meetings, various hospital departmental meetings, annual Medical Staff Bylaws review, revision and approval process, and medical staff policy creation and revision. Questions regarding the administrative functions of the Medical Staff Office should be directed to Heidi Kimble at (608) 417-6104 or [email protected].
Not all providers are credentialed through these processes (i.e. some non-physician professionals). Please contact your UW Health Managed Care Account Manager for more information.
uwhealth.org 5 Health Information – Release of Information
Requests for medical record information from UW Health should be addressed to the Release of Information section of the Health Information Management Department. Questions on release of information procedures may be directed to the Health Information Management Department at (608) 263-6030. Requests for patient information that require an authorization shall be submitted on the UW Health authorization form or another authorization form that meets Wisconsin and HIPAA regulations.
There are some requests for information where patient authorization is not required. Those are however limited, so please work with the Health Information Department. All disclosures made have a required documentation process about the request and when it was disclosed. Requests for release of information that may not require an authorization, must be provided on requestor letterhead (including name and address) and include patient name, DOB, details of specific information needed and reason for the request.
Requests for medical information should be addressed to the following: UWHC/UWMF/GFC/MSC/TSC/WSI Health Information and Patient Records Howie Heilprin, ROI Supervisor in Health Information Management UW Health • 8501 Excelsior Drive, Madison, WI 53717 Phone: (608) 203-4641 • Fax: (608) 262-6663 • [email protected]
CMW Health Information and Patient Records Susan Meier, Human Resources, Senior Director/Privacy Officer CMW • 2241 Pinehurst Drive, Middleton, WI 53562 Eff. 12/15/2019: 1345 Deming Way Phone: (608) 831-8555 (Ext. 6174) • Fax: (608) 831-9747 • [email protected]
UWRH Health Information and Patient Records Kaylee Zoet, Health Information Manager UWRH • 5115 N. Biltmore Lane, Madison, WI 53718 Phone: (608) 592-8122 • Fax: (608) 592-8170 • [email protected]
SwedishAmerican Health Information and Patient Records Health Information Management Services (HIMS) (779) 696-4540 or fax (779) 696-4078. Please refer to the SwedishAmerican website to obtain a copy of the Authorization for Release of Information form at https://www.swedishamerican.org/patients/medical-records
UnityPoint Health - Meriter Health Information and Patient Records Health Information Management 202 S. Park Street, Madison, WI 53715 (608) 417-6030
uwhealth.org 6 Hospital Audit Policies
UW Health Hospital Audits The Patient Accounting Department is committed to providing accurate billings for hospital services and to ensure that proposed account audits are completed promptly and accurately. Because UW Health is a diverse and complex organization, your company’s adherence to the following requirements will ensure that audits are conducted expeditiously:
• Audits may be requested within six months of a patient’s discharge. • Audits may be initiated by faxing to the Attention: Revenue Integrity Auditor at (608) 833-9201. She/he will schedule an appointment for your company to review the medical record and will be available to answer any questions you may have. She/he will be prepared to conduct an exit interview and reach an agreement on the date of the site visit. In the event your organization uses an audit agency, your company must provide us with the appropriate authorization for the audit agency to conduct audits on your company’s behalf. • A $500.00 audit fee will be assessed and must be paid in advance. Checks should be made payable to University Hospital. In no case will an audit be scheduled until at least 95% of the total benefit due has been paid. • All audits must be conducted onsite. If discrepancies cannot be resolved at the time of the audit site visit, results should be compiled by service date, showing quantity billed and quantity unsupported. The Patient Accounting Department will review this information and verify your recommendations with hospital staff. You will be asked to return to the hospital to review the hospital’s documentation on disputed charges, in order to more easily reach an agreement. • Once verified by the Audit Coordinator, the appropriate adjustment(s) will be issued by the hospital within five business days of the date agreement is reached.
Unless otherwise precluded by an existing contractual agreement, UW Health will bill the patient for any charges the hospital maintains are legitimate. UW Health will issue a refund for any charges billed in error. Due to the claims adjudication complications associated with recoupment, UW Health does not permit payers to recoup charges billed in error through offsets to payments for future claims, unless the contract allows for recoupment. If a net undercharge is found, the hospital expects payment of the net undercharge within 30 days of the audit or settlement date.
uwhealth.org 7 SwedishAmerican Hospital Audits It is the policy of SwedishAmerican Health System and SwedishAmerican Medical Center Belvidere to bill patients as accurately as possible for services rendered. In the event the patient’s insurance company wishes to audit the medical record to verify charges on the bill, the procedures listed below are to be followed. This policy was established to ensure an efficient and accurate audit. If this policy is not followed, SwedishAmerican Hospital reserves the right to refuse the audit and to seek payment from the patient. 1. Audits must be scheduled through Jacqueline Potter, RN, Insurance Audit Coordinator. Contact her at (779) 696-2695 to arrange for an appointment. A “Letter of Intent to Audit” must be received within six months of the final billing date. 2. Only on-site audits will be accepted. 3. 100% of the insurance company’s liability must be paid prior to the audit. 4. Upon completion of the audit, the third-party auditor shall provide a written report, summarizing all findings. 5. In the event the third-party auditor cannot provide written results the day of the audit, the results should be mailed or faxed to the Audit Coordinator within 10 working days.
Fax: (815) 967-7230
Mailing Address: SwedishAmerican Health System Attn: Jacqueline Potter, RN 2550 Charles St. Rockford, IL 61108
6. The Audit Coordinator will respond to the audit findings within 10 working days. The results shall be forwarded to the address provided by the third-party auditor. 7. When the audit is final, all unbilled charges will be submitted for payment, and refunds will be issued where applicable.
SwedishAmerican Insurance Audit Charge Policy
1. The following schedule is used to determine the audit fee for each account.
Total Patient Charges Fee $0 - $ 35,000 $ 50 $ 35,001 - $ 75,000 $ 75 $ 75,001 - $100,000 $100 $100,001 - $125,000 $125 $125,001 - $150,000 $150 $150,001+ $200
2. All audit fees will be made payable to SwedishAmerican Hospital and are due at the time of audit. 3. Failure to abide by this charge policy will result in denial of the audit.
uwhealth.org 8 Billing and Reimbursement
UW Health Service Locations
University Hospital UW Health - East Clinic UW Health - Research Park Clinic 600 Highland Ave. 5249 E. Terrace Dr. 621 Science Dr. Madison, WI 53792 Madison, WI 53718 Madison, WI 53711
American Family UW Health - Kidney Clinic UW Health - Children’s Hospital 3034 Fish Hatchery Road University Station Clinic 1675 Highland Ave. Madison, WI 53713 2880 University Ave. Madison, WI 53792 Madison, WI 53705
UW Health at UW Health - UW Health - West Clinic The American Center Oakwood Village Geriatrics 451 Junction Rd. 4602 Eastpark Blvd. 6209 Mineral Point Rd. #116 Madison, WI 53717 Madison, WI 53718 Madison, WI 53705
UW Health - Adolescent Alcohol/Drug UW Health - Waisman Center Assessment Intervention Program Orthotics and Prosthetics Clinic 1500 Highland Ave. 122 E. Olin Ave. #275 6220 University Ave. #103 Madison, WI 53705 Madison, WI 53713 Middleton, WI 53562
UW Health - UW Health - Digestive Health Center Rehabilitation Clinic 750 University Row 6630 University Ave. Madison, WI 53705 Middleton, WI 53562
Billing and Payment information for services received at locations listed above:
Send Payments Tax ID NPI University Hospital #39-1835630 UWHC #1922043744 UWHC/AFCH/TAC Drawer 853 #1235174426 Inpatient Psych Milwaukee, WI 53278 #1790720985 Inpatient Rehab #1366771859 DME Highland #1720469869 DME TAC #1366823403 Pharmacy TAC #1972047710 DME East Clinic Send Payments Tax ID UW Medical Foundation #39-1824445 UWMF #1598784555 UWMF Drawer 78864 #39-1805963 UW Systems #1346266319 UW Systems Milwaukee, WI 53278
uwhealth.org 9 UW Health Service Locations (cont’d)
UW Health Arboretum Clinic UW Health Fort Atkinson Clinic UW Health Sun Prairie Clinic 1102 S. Park St. 1620 Mehta Ln. 2651 Windsor St. Madison, WI 53715 Fort Atkinson, WI 53538 Sun Prairie, WI 53590
UW Health Beaver Dam Clinic UW Health Madison Eye UW Health Union Corners Clinic 705 S. University Ave. #200 Associates 2402 Winnebago St. Beaver Dam, WI 53916 780 Regent St. #306 Madison, W 53704 Madison, WI 53715
UW Health Behavioral Health UW Health Mt. Horeb Clinic UW Health Verona Clinic and Psychiatry Clinic 600 N. 8th St. 100 N. Nine Mound Rd. 2275 Deming Way, Ste. 180 Mt. Horeb, WI 53572 Verona, WI 53593 Middleton, WI 53562 UW Health Northeast UW Health West Towne Clinic UW Health Behavioral Health Family Medical Center 7102 Mineral Point Rd. and Recovery Clinic 3209 Dryden Dr. Madison, WI 53717 1102 S. Park St. Madison, WI 53704 Madison, WI 53715
UW Health Belleville UW Health Odana Atrium Clinic UW Health Yahara Clinic Family Medicine Clinic 5618 Odana Rd. 1050 East Broadway 1121 BellWest Blvd. Madison, WI 53719 Monona, WI 53716 Belleville, WI 53508
UW Health Cottage Grove Clinic UW Health Oregon Clinic UW Health 1 S. Park Clinic 4590 County. Rd. N 137 S. Main St. 1 S. Park St. Cottage Grove, WI 53527 Oregon, WI 53575 Madison, WI 53715
UW Health Cross Plains Clinic UW Health Pain Management Clinic UW Health 20 S. Park Clinic 2418 Brewery Rd. 1102 S. Park St., 3rd Floor 20 S. Park St. Cross Plains, WI 53528 Madison, WI 53715 Madison, WI 53715
UW Health DeForest-Windsor Clinic UW Health Portage Clinic UnityPoint Health - Meriter 4131 Meridian Dr. 2977 County Hwy. CX 202 S. Park St. Windsor, WI 53598 Portage, WI 53901 Madison, WI 53715
UW Health Deming Way Eye Clinic UW Health Psychiatric Wisconsin Institutes for Medical 2349 Deming Way #200 Institute and Clinic Research (WIMR) Middleton, WI 53562 6001 Research Park Blvd. 1111 Highland Ave. Madison, WI 53719 Madison, WI 53705 UW Health Eye Clinic Rockford UW Health Smoking Cessation 7019 Rote Rd. #101 and Prevention Clinic Rockford, IL 61107 1930 Monroe St., Ste. 200 Madison, WI 53711
UW Health Fitchburg Clinic UW Health Stoughton Clinic 5543 E. Cheryl Pkwy. 1001 Nygaard St. Fitchburg, WI 53711 Stoughton, WI 53589
Billing and Payment Information for services received at locations listed above: Send Payments Tax ID NPI UW Medical Foundation #39-1824445 UWMF #1598784555 UWMF Drawer 78864 #39-1805963 UW Systems #1346266319 UW Systems Milwaukee, WI 53278
uwhealth.org 10 UW Health Optical Service Locations
UW Health Optical - Deming Way UW Health Optical - University Eye Clinic Station Clinic 2349 Deming Way, 2nd Floor 2880 University Ave. Middleton, WI 53562 Madison, WI 53705
UW Health Optical - East Clinic UW Health Optical - West Clinic 5249 E. Terrace Dr. 451 Junction Rd. Madison, WI 53718 Madison, WI 53717
UW Health Optical - Madison Eye Associates 780 Regent St. Ste. 306 Madison, WI 53715
Billing and Payment Information for services received at locations listed above:
Send Payments Tax ID NPI 780 Regent St. Ste. 306 #39-1824445 UWMF #1235322850 Deming Way Madison, WI 53715 #1235190224 East Clinic #1821059817 Madison Eye Assoc #1043271034 Univ Station Clinic #1457313934 West Clinic
uwhealth.org 11 Other Affiliated Entities Service Locations
Chartwell Midwest Wisconsin Send Payments Tax ID 2241 Pinehurst Dr. Chartwell Midwest Wisconsin #39-1796267 CMW Middleton, WI 53562 Drawer 78804 NPI Eff. 12/15/2019: 1345 Deming Way Milwaukee, WI 53278 #1730260233 Home Infusion
Chartwell Midwest Wisconsin Send Payments Tax ID 2030 Pinehurst Dr. Chartwell Midwest Wisconsin #39-1796267 CMW Middleton, WI 53562 Drawer 78804 NPI Eff: 1/1/2020: 1345 Deming Way for HHA Milwaukee, WI 53278 #1134782964 DME Eff: 3/1/2020: 1345 Deming Way for DME #1164085965 Home Health
Chartwell Midwest Wisconsin Send Payments Tax ID 5249 E. Terrace Dr. Room 1201 Chartwell Midwest Wisconsin #39-1796267 CMW Madison, WI 53718-8339 Drawer 78804 NPI Milwaukee, WI 53278 #1346804770 DME
Generations Fertility Care, Inc. Send Payments Tax ID 2365 Deming Way Generations Fertility Care #27-3496527 GFC Middleton, WI 53562 Drawer 78864 NPI Milwaukee, WI 53278 #1093025686 GFC
Madison Surgery Center, Inc. Send Payments Tax ID 1 South Park St. UW Medical Foundation #39-1940656 MSC Madison, WI 53715 Drawer 78864 #39-1824445 UWMF Milwaukee, WI 53278 NPI #1295755023 MSC #1598784555 UWMF
Transformations Surgery Center, Inc. Send Payments Tax ID 2349 Deming Way UW Medical Foundation #39-1948840 TSC Middleton, WI 53562 Drawer 78864 #39-1824445 UWMF Milwaukee, WI 53278 NPI #1497859540 TSC #1598784555 UWMF
UW Health Rehabilitation Hospital Send Payments Tax ID 5115 N. Biltmore Ln. UW Rehabilitation Hospital #46-3262602 UWRH Madison, WI 53718 5115 N. Biltmore Ln. NPI Madison, WI 53718 #1831583145 UWRH
Wisconsin Sleep, Inc. Send Payments Tax ID 6001 Research Park Blvd. Wisconsin Sleep, Inc. #26-0902344 WSI Madison, WI 53719 Drawer 78864 #39-1824445 UWMF Milwaukee, WI 53278 #39-1805963 UW Systems
UW Medical Foundation NPI Drawer 78864 #1588850150 WSI Milwaukee, WI 53278 #1598784555 UWMF #1346266319 UW Systems
uwhealth.org 12 SwedishAmerican Health System Service Locations
Ambulatory Rehab Therapy Services Maternal Fetal Medicine SwedishAmerican Heart Institute & Sleep Disorders a Dept of SA Hospital a Dept of SA Hospital 209 9th St. 1401 E. State St., 5th Floor 1340 Charles St., #300 Rockford, IL 61104 Rockford, IL 61104 Rockford, IL 61104
Breast Health Center Neurosurgery/Headache SwedishAmerican Hospital 1340 Charles St., Ste. 201 Medicine 1401 E. State St. Rockford, IL 61104 a Dept. of SA Hospital Rockford, IL 61104 1340 Charles St., #400 Rockford, IL 61104
Cardiovascular Surgery Orthopaedics & SwedishAmerican Medical a Dept of SA Hospital Sports Therapy Center-Belvidere 1340 Charles St., #300 8451 Orth Rd. 1625 S. State St. Rockford, IL 61104 Loves Park, IL 61111 Belvidere, IL 61008
Diabetes Self-Management Pulmonology Clinic UW Health General Surgery 1415 E. State St., Ste 700 a Dept. of SA Hospital a Dept of SA Hospital Rockford, IL 61104 1401 E. State St. 1340 Charles St., #100 Rockford, IL 61104 Rockford, IL 61104
Infectious Disease Consultants Regional Cancer Center Wound Care & & Palliative Care Clinic 3535 N. Bell School Rd. Hyperbaric Clinic a Dept of SA Hospital Rockford, IL 61114 1415 E. State St., Ste. 609 & 101 1340 Charles St., #404 Rockford, IL 61104 Rockford, IL 61104
Lundholm Orthopedics Rockford Vascular Surgery a Dept of SA Hospital a Dept of SA Hospital 1340 Charles St., #100 1340 Charles St., #200 Rockford, IL 61104 Rockford, IL 61104
Billing and Payment information for services received at the locations listed above:
Send Payments Tax ID NPI Swedish American Hospital #36-2222696 SAHS #176054732 SAH P.O. Box 78866 Milwaukee, WI 53278-8866
Send Payments Tax ID NPI SwedishAmerican Medical Group #36-2222696 SAHS #1962451732 SAMG P.O. Box 78866 Milwaukee, WI 53278-8866
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SwedishAmerican Health System Service Locations (cont’d)
Belvidere Clinic Five Points Clinic Riverwest Clinic 1700 Henry Luckow Ln. 2404 Charles St. 815 Marchesano Dr. Belvidere, IL 61108 Rockford, IL 61108 Rockford, IL 61102
Brookside Specialty Center Immediate Care Rochelle Clinic 1253 N Alpine Rd. 2473 McFarland Rd. 380 IL Route 38 East Rockford, IL 61107 Rockford, IL 61107 Rochelle, IL 61068
Byron Clinic Midtown Clinic Stateline Clinic 230 West Blackhawk Dr. 1340 Charles St., #405 & Immediate Care Byron, IL 61010 Rockford, IL 61104 4282 E. Rockton Rd. Roscoe, IL 61073 Creekside Medical Center North Main Clinic State Street OB/Gyn 3505 N. Bell School Rd. 2601 N Main St. 1415 E State St., #800 Rockford, IL 61114 Rockford, IL 61103 Rockford, IL 61104
Davis Junction Clinic Obstetrics & Gynecology Valley Clinic 5665 N. Junction Way 209 Ninth St., #200 6824 Newburg Rd. Davis Junction, IL 61020 Rockford, IL 61104 Rockford, IL 61008
Billing and Payment information for services received at the locations listed above:
Send Payments Tax ID NPI Swedish American Hospital #36-2222696 SAHS #176054732 SAH P.O. Box 78866 Milwaukee, WI 53278-8866
Send Payments Tax ID NPI SwedishAmerican Medical Group #36-2222696 SAHS #1962451732 SAMG P.O. Box 78866 Milwaukee, WI 53278-8866
Home Health Home Infusion 2550 Charles St. 2550 Charles St., Ste. A Rockford, IL 61108 Rockford, IL 61108
Billing and Payment information for services received at the locations listed above:
Send Payments Tax ID NPI SwedishAmerican Home Health #36-2222696 SAHS #1255439774 SAHH P.O. Box 78866 Milwaukee, WI 53278-8866
Send Payments Tax ID NPI SwedishAmerican Home Infusion #36-2222696 SAHS #1285720763 SAHI P.O. Box 4476 Rockford, IL 61110-0977
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UnityPoint Health - Meriter Service Locations UnityPoint at Home UnityPoint Health - Meriter UnityPoint Health - Meriter 2180 W. Beltline Hwy. Heart & Vascular Institute Stoughton Clinic Madison, WI 53713 2601 W. Beltline Hwy., #200 100 Silverado Dr. Madison, WI 53713 Stoughton, WI 53589
UnityPoint Health - Meriter UnityPoint Health - Meriter Hospital UnityPoint Health - Meriter Center for Perinatal Care 202 S. Park St. Therapy Central 202 S. Park St. Madison, WI 53715 1414 S. Park St. Madison, WI 53715 Madison, WI 53715
UnityPoint Health - Meriter UnityPoint Health - Meriter UnityPoint Health - Meriter Child & Adolescent Psychiatry Laboratories Therapy West 8102 Wellness Way. 36 S. Brooks St. 5752 Tokay Blvd. Madison, WI 53719 Madison, WI 53715 Madison, WI 53719
UnityPoint Health - Meriter UnityPoint Health - Meriter UnityPoint Health - Meriter DeForest-Windsor Clinic McKee Clinic Vein Center 4200 Savannah Dr. 3102 Meriter Way 2601 W. Beltline Hwy., #300 DeForest, WI 53532 Madison, WI 53719 Madison, WI 53713
UnityPoint Health - Meriter UnityPoint Health - Meriter UnityPoint Health - Meriter Deming Way Clinic Middleton Clinic Wellness Center 2275 Deming Way, #220 7780 Elmwood Ave., #201 2501 W. Beltline Hwy., #207 Middleton, WI 53562 Middleton, WI 53562 Madison, WI 53713
UnityPoint Health - Meriter UnityPoint Health - Meriter UnityPoint Health - Meriter Digestive Health Center Monona Clinic West Washington Clinic 202 S. Park St. 6408 Copps Ave. 345 W. Washington Ave. Madison, WI 53715 Monona, WI 53716 Madison, WI 53703
UnityPoint Health - Meriter UnityPoint Health - Meriter Fitchburg Clinic Newstart 2690 Research Park Dr., Ste. F 1015 Gammon Ln. Madison, WI 53711 Madison, WI 53719
Billing and Payment information for services received at the locations listed above:
Send Payments Tax ID NPI UnityPoint Health - Meriter Hospital #39-0806367 #1114920048 P.O. Box 26708 #1932572955 Salt Lake City, UT 84126-0708 #1073672556 #1548280225 Meriter Health Enterprises DBA Meriter Laboratories #39-1293620 #1346244993 Lab P.O. Box 681166 Chicago, IL 60695-2166
Durable Medical Equipment #42-1477471 #1851767826 DME P.O. Box 681149 Chicago, IL 60695-2149
Home Health Services #42-1477471 #1285000729 Home Health P.O. Box 681153 Chicago, IL 60695-2153
uwhealth.org 15