MyPlanTools.com

MyPlanTools.com –

​The Secure Portal for Quartz Providers

This convenient portal allows you to check eligibility and claim status and view explanation of payment (EOP) statements. This includes Senior Preferred (HMO) and Senior Choice information.

Features 

  • View a member's 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 accumulations
  • Check remittance advices
  • Access forms
  • View the ACH provider guide
  • Medical Policies

How Do I Sign Up for MyPlanTools.com?

Formulary Reminder

​A complete formulary, a description of ​a plan’s different pharmacy benefit designs and copayment or coinsurance requirements and current prior authorization criteria are available on this website or in writing upon request by calling (888) 450-4884.    

Where to Submit Claims

Three Claims PO Boxes ​Have ​Been ​Created

In order to determine which address to send a claim, check the member's or participant's ID card.

  • If the ID card does not feature an employer group or PHCS logo, claims should be sent to:
    Quartz
    PO Box 610
    Sauk City, WI 53583​
  • If the ID card also features an employer group logo, that indicates the participant is covered by a self funded plan. Please send claims to:
    Quartz
    PO Box 490
    Sauk City, WI 53583
  • If the ID card features a PHCS / Multiplan logo, the member is covered by a PPO plan with a HealthEOS claims address. Please send claims to:
    HealthEOS by MultiPlan
    PO Box 6090
    DePere, WI 54115-6090

​See the illustrated ​table below.

Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc. and Gundersen Health Plan ​Minnesota Claims, except PPO

ID Cards

PO Box 610
Sauk City, WI 53583

Quartz Self-Funded Plan Claims
Example:

QA00186

PO Box 490
Sauk City, WI 53583

Any license: PPO Claims
Example:

PPO ID Card

HealthEOS by MultiPlan
PO Box 6090
DePere, WI 54115-6090