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Wisconsin Medicaid Claims 1 Non-emergency Medical Transportation Published Policy Through May 31, 2013-Page 1 of 113 Wisconsin Medicaid Archive Date:06/03/2013 Claims:Responses Topic #13437 ForwardHealth-Initiated
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How to fill out forwardhealth-initiated claim adjustments

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How to fill out forwardhealth-initiated claim adjustments:

01
Access the ForwardHealth online portal.
02
Navigate to the "Claims" section and select "ForwardHealth-Initiated Claim Adjustments."
03
Enter the necessary claim information, such as the claim number, the date of service, and the provider information.
04
Indicate the reason for the claim adjustment, whether it is a correction, resubmission, or other.
05
Provide any supporting documentation or notes relevant to the adjustment.
06
Review the entered information for accuracy and completeness.
07
Submit the claim adjustment electronically through the portal.
08
Keep track of the claim adjustment status and any follow-up actions needed.

Who needs forwardhealth-initiated claim adjustments:

01
Healthcare providers who have identified errors or inaccuracies in their previously submitted claims.
02
Providers who need to make changes to a previously submitted claim for reasons such as billing errors, updated patient information, or clarification.
03
Providers who receive notification from ForwardHealth regarding a claim adjustment that needs to be addressed.
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Forwardhealth-initiated claim adjustments are changes made to a submitted claim by ForwardHealth after it has been processed.
Healthcare providers who have submitted claims to ForwardHealth and need to request corrections or changes.
Providers can fill out forwardhealth-initiated claim adjustments by submitting a request form with the necessary information.
The purpose of forwardhealth-initiated claim adjustments is to correct errors or make changes to a previously submitted claim.
Providers must report details of the original claim, the reason for the adjustment, and any additional supporting documentation.
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