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
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 
| PO Box 610
Sauk City, WI 53583 |
Quartz Self-Funded Plan Claims
Example: 
| PO Box 490
Sauk City, WI 53583 |
Any license: PPO Claims
Example: 
| HealthEOS by MultiPlan
PO Box 6090
DePere, WI 54115-6090 |
