Wisconsin Medicaid denies DMS claims that are submitted on any form other than the HCFA 1500 claim form. They may be obtained from a number of commercial form suppliers. Wisconsin Medicaid provides free software for billing claims electronically. Electronic claim submission eliminates manual handling of claims, reducing errors and allowing faster turn-around time. As with paper claims, electronically submitted claims can be processed and paid correctly only if all data supplied is accurate and complete.
Providers are responsible for the accuracy of all data submitted via electronic claims.
Processed claims appear on the Remittance and Status Report either as paid, pending, or denied. Wisconsin Medicaid takes no further action on a denied claim until the information is corrected and the provider resubmits the claim for processing. If a claim was paid incorrectly, the provider is responsible for submitting an adjustment request form to Wisconsin Medicaid. Adjustments to paid claims. Return of overpayments.