WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #549
Requirements
When a claim or adjustment request meets one of the exceptions to the submission deadline, the provider is required to mail
ForwardHealth a Timely Filing Appeals Request (F-13047 (08/2015)) form with a paper claim or an Adjustment/Reconsideration
Request (F-13046 (02/2025)) form to override the submission deadline. If claims or adjustment requests are submitted
electronically, the entire amount of the claim will be recouped.
DOS (dates of service) that are beyond the submission deadline should be submitted separately from DOS that are within the
deadline. Claims or adjustment requests received that contain both current and late DOS are processed through normal channels
without review by Timely Filing and late DOS will be denied.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
44d92e790d47ff58b994c8f728d26a4aceb5272720793415b8246c6678f3532b
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.