Wisconsin Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for Wisconsin Medicaid.

 

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed, and returned tot he Wisconsin Medicaid office prior to initiation of electronic claims submission or inquiry.

1. Trading Partner Profile (Submit Online)

Click on Trading Partner Profile then click on Submit Online

If you have any questions regarding any of the documents in this package, please call the Wisconsin Medicaid EDI Technology Support Center at 1-866-416-4979.

 

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

 

Trading Partner Information

You are the Trading Partner, therefore you must complete the Trading Partner Section with your Information.

  • For Type of Submission, choose "Initial Submission" if you are a new applicant

  • For the Transaction Sets choose the following:

    • 837...Institutional if you will be sending Institutional claims (UB04)

    • 837...Professional if you will be sending Professional claims (CMS 1500)

    • 835...Payment Advice if you want to receive your EOBs electronically

  • For the Authorized Representative section, enter your main Biller's information.

 

Once Wisconsin Medicaid receives your form they will send you a letter containing a PIN. When you receive that PIN you will need to go to www.forwardhealth.wi.gov and set yourself up an account. Once your account is setup, you will need to complete their EDI User Registration process and give your ClaimShuttle Support team a call at 602-439-2525 for assistance uploading your first Test Batch to WI Medicaid.

Please have 5 claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

ClaimShuttle Testimonials

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It's great to have immediate help and knowledgeable support!

Alhambra, CA

As always excellent, professional, knowledgeable customer service. Other companies could learn from you.

Lilian (Mesa, AZ)

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Gilgia (Kingsport, TN)

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Ann (Winston-Salem, NC)

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Teresa (Keno, OR)

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Tracy (Prescott Valley, AZ)

Have never had any problems and this is the easiest claim site

Leawood, KS

The rep and supervisor went out of their way to get the issue resolved. It was nice to have a direct contact with the same representative until the problem was resolved.

Rachel (Anderson, IN)

Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed.  Thanks! 

Martha (Shreveport, LA)

A Happy Friday message from a Satisfied User! I just transmitted my first batch of electronic claims through Claim Shuttle!  My question is, "Why didn't I find out about Claim Shuttle earlier?!?"  I love it!  There simply is no comparison!  Everything about it (including your team) is great!  The ease of use and user-friendly environment is awesome.  My work is truly cut in half by using Claim Shuttle.  Please share my thanks with everyone involved.  I am so happy to have found you!  

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Pearsall, TX

I just wanted to let you know how impressed I am with this service. Just as you promised, I was up and running within 20 minutes of our initial conversation. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Your product is everything you said it was. I am a very small company, and have actually now reduced my overhead by going with you guys! Thanks for your honesty and integrity!

Gina (New York, NY)

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