Medical billing for Wisconsin practices

Medical Billing Services in Wisconsin

ForwardHealth is the portal. BadgerCare Plus is not the only program on it. The Department of Health Services uses ForwardHealth for BadgerCare Plus, Supplemental Security Income Medicaid, and other Wisconsin Medicaid programs. Those programs are not the same benefit. A managed-care member is billed to the plan. Minnesota Medical Assistance is not on ForwardHealth.

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What a claim follows in Wisconsin

ForwardHealth is the portal. BadgerCare Plus is not the only program on it.

ForwardHealth

The Department of Health Services uses ForwardHealth for BadgerCare Plus, Supplemental Security Income Medicaid, and other Wisconsin Medicaid programs. Those programs are not the same benefit. A managed-care member is billed to the plan. Minnesota Medical Assistance is not on ForwardHealth.

National Government Services, Jurisdiction 6

Medicare Part A and Part B for a Wisconsin practice go to National Government Services, Jurisdiction 6, with Illinois and Minnesota. Michigan uses WPS Jurisdiction 8. Iowa uses WPS Jurisdiction 5.

Workers' compensation

Wisconsin is not a no-fault state. A work injury is billed to the employer's carrier under the Department of Workforce Development. It is not a BadgerCare Plus claim.

A Wisconsin Medicaid denial often comes from picking the right portal and the wrong program. ForwardHealth houses more than BadgerCare Plus. The card names the program. Medicare does not go through ForwardHealth.

Nearby states

Wisconsin billing questions

Is BadgerCare Plus the only program on ForwardHealth?

No. ForwardHealth also carries Supplemental Security Income Medicaid and other Wisconsin Medicaid programs. The program on the card is the one that is billed.

Where does a Wisconsin Medicare claim go?

National Government Services, Jurisdiction 6. Michigan uses WPS Jurisdiction 8.

Does a Wisconsin practice change the fee?

The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.