Wis. ForwardHealth Online Handbook, Hospice, Topic #4743

Information and Functions Through the Portal

The acute and primary managed care area of the ForwardHealth Portal allows state-contracted HMOs to conduct business with

ForwardHealth. The public HMO page offers easy access to key HMO information and web tools. A login is required to access

the secure area of the Portal to submit or retrieve account and member information that may be sensitive.

The following information is available through the Portal:

• Listing of all Medicaid-enrolled providers

• Coordination of Benefits Extract/Insurance Carrier Master List information updated quarterly

• Data Warehouse, which is linked from the Portal to Business Objects. The Business Objects function allows for access to

MCO (managed care organization) data for long-term care MCOs.

• Electronic messages

• Enrollment verification by entering a member ID or SSN (Social Security number) with date of birth and a From DOS

(date of service) and a To DOS range. A transaction number is assigned to track the request.

• Member search function for retrieving member information such as medical status codes and managed care and Medicare

information

• Provider search function for retrieving provider information such as the address, phone number, provider ID, taxonomy

code (if applicable), and provider type and specialty

• HealthCheck information

• MCO contact information

• Technical contact information (Entries may be added via the Portal.)