All claims that providers submit, whether electronic or paper, are subject to the same Medicaid processing and legal requirements.
Providers usually reduce their claim errors when they submit claims electronically.
Wisconsin Medicaid provides free software for billing electronically. A claim for an unlisted procedure code must be submitted on the paper HCFA 1500 claim form with a description of the procedure written in element 19 of the claim or written on a separate document attached to the claim. Wisconsin Medicaid denies claims for physician services submitted on any paper claim form other than the HCFA 1500 claim form. Refer to Appendix 5 of this section for HCFA 1500 claim form completion instructions. Neither Wisconsin Medicaid nor the Medicaid fiscal agent provides the HCFA 1500 claim form.