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Wisconsin MedicaidClaims1BadgerCare Plus Prenatal ProgramPublished Policy Through May 31, 2020Page 1 of 54Wisconsin MedicaidArchive Date:06/01/2020Claims:Responses Topic #13437ForwardHealthInitiated
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How to fill out paper claims submitted to

01
To fill out paper claims submitted to, follow the steps below:
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Gather all the necessary information and documents related to the claim, such as medical records, invoices, receipts, and any relevant supporting documentation.
03
Double-check that you have the correct claim form. Each insurance company or organization may have a specific form to be filled out, so make sure you have the right one.
04
Begin by providing your personal information, such as your name, address, phone number, and policy or member identification number.
05
Next, provide details about the claim itself, including the date of service, the name of the provider or facility, and a description of the services or treatment received.
06
Be sure to accurately itemize any expenses associated with the claim, such as the cost of medication, medical procedures, or any other relevant costs.
07
If applicable, include any supporting documentation or receipts that validate the expenses you have claimed.
08
Review the completed form for any errors or omissions. Double-check all the information you provided to ensure accuracy.
09
Once you are satisfied with the form, make copies of the completed claim form and all supporting documentation for your records.
10
Submit the claim and all required documents to the designated address or department provided by your insurance company or organization.
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Keep a copy of the submitted claim and any relevant tracking or confirmation numbers for future reference or follow-up.

Who needs paper claims submitted to?

01
Paper claims submitted to are typically needed by individuals who have a health insurance policy that accepts paper submission or by organizations that require physical copies for processing.
02
Medical providers, such as doctors, hospitals, and clinics, may also need paper claims submitted to when dealing with insurance companies or government healthcare programs.
03
Additionally, individuals who do not have access to electronic claim submission methods or those who prefer the traditional paper submission process may need to submit paper claims.
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Paper claims are submitted to health insurance providers, government programs, and third-party payers for reimbursement of medical services rendered.
Healthcare providers such as doctors, hospitals, and clinics are typically required to file paper claims if they do not use electronic claims processing.
To fill out paper claims, providers must accurately complete the claim form with patient details, service codes, provider information, and attach all necessary documentation including receipts and medical records.
The purpose of paper claims is to request payment for healthcare services provided to patients by documenting the services rendered and the associated costs.
Paper claims must include patient demographics, diagnosis codes, procedure codes, date of service, provider details, and any relevant support documentation.
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