Wis. ForwardHealth Online Handbook, Hospice, Topic #4997

Providers can submit the following claims to ForwardHealth via DDE (Direct Data Entry) on the ForwardHealth Portal:

• Professional claims

• Institutional claims

• Dental claims

• Compound drug claims

• Noncompound drug claims

DDE is an online application that allows providers to submit claims directly to ForwardHealth.

When submitting claims via DDE, required fields are indicated with an asterisk next to the field. If a required field is left blank, the

claim will not be submitted, and a message will appear prompting the provider to complete the specific required field(s). Portal

help is available for each online application screen. In addition, search functions accompany certain fields so providers do not

need to look up the following information in secondary resources.

On professional claim forms, providers may search for and select the following:

• Procedure codes

• Modifiers

• Diagnosis codes

• Place of service codes

On institutional claim forms, providers may search for and select the following:

• Type of bill

• Patient status

• Visit point of origin

• Visit priority

• Diagnosis codes

• Revenue codes

• Procedure codes

• HIPPS (Health Insurance Prospective Payment System) codes

• Modifiers

On dental claims, providers may search for and select the following:

• Procedure codes

• Rendering providers

• Area of the oral cavity

• Place of service codes

On compound and noncompound drug claims, providers may search for and select the following:

• Diagnosis codes

• NDCs (National Drug Codes)

• Place of service codes

• Professional service codes

• Reason for service codes

• Result of service codes

Using DDE, providers may submit claims for compound drugs and single-entity drugs. Any provider, including a provider of DME

(durable medical equipment) or of DMS (disposable medical supplies) who submits noncompound drug claims, may submit these

claims via DDE. All claims, including POS (Point-of-Sale) claims, are viewable via DDE.