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WI · guidance

Wis. ForwardHealth Online Handbook, Hospice, Topic #544

Verifying Accuracy of Claims Processing

activein force · 2026-10-01 – presentcompiled-edition

After obtaining ForwardHealth remittance information, providers should compare it to the claims or adjustment requests to verify

that ForwardHealth processed elements of the claims or adjustment requests as submitted. To ensure correct reimbursement,

providers should do the following:

• Identify and correct any discrepancy that affected the way a claim processed.

• Correct and resubmit claims that are denied.

• Submit an adjustment request for allowed claims that require a change or correction.

When posting a payment or denial to a member's account, providers should note the date on the ForwardHealth remittance

information that indicates that the claim or adjustment has finalized. Providers are required to supply this information if further

follow-up actions are necessary.

Provenance

Source
www.forwardhealth.wi.gov
Retrieved
2026-10-02
Edition
forwardhealth-hospice-2026-10-01
Content hash
2947137acd903e69316e3a1e008247e5fe2fba7628441f2304243e7fa6b0e2fe
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