WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #535
Claim Status
ForwardHealth generally processes claims and adjustment requests within 30 days of receipt. Providers may check the status of a
claim or adjustment request using the AVR (Automated Voice Response) system or the 276/277 (276/277 Health Care Claim
Status Request and Response) transaction.
If a claim or adjustment request does not appear in claim status within 45 days of the date of submission, a copy of the original
claim or adjustment request should be resubmitted through normal processing channels.
ForwardHealth claims generally fall into one of three statuses:
• Pay— The claim has been approved for payment.
• Deny— The claim was not approved for payment.
• Suspend— The claim is awaiting further review by ForwardHealth before a decision is made on how the claim will be
adjudicated.
Refer to the ForwardHealth Portal Claim Status Information Instruction Sheet on the User Guides page of the Portal for additional
information regarding claim status.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
160ec71a38c95c5aa8cf4e06bf8ec0ec9fcc4354e5e7291aa67ca866fdebdd3c
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