WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #13437
ForwardHealth-Initiated Claim Adjustments
There are times when ForwardHealth must initiate a claim adjustment to address claim issues that do not require provider action
and do not affect reimbursement.
Claims that are subject to this type of ForwardHealth-initiated claim adjustment will have EOB (Explanation of Benefits) code
8234 noted on the RA (Remittance Advice).
The adjusted claim will be assigned a new claim number, known as an ICN (internal control number). The new ICN will begin
with "58." If the provider adjusts this claim in the future, the new ICN will be required when resubmitting the claim.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
be611f683f4faf1d0ca1ee7b792621d24b008bc7fcf3dc40bb358307c0e8371e
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