WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #602
Discounted Rates
Providers of services that are discounted by other health insurance (for example, commercial health insurance, Medicare,
Medicare Advantage Plans) should include the following information on claims or on the Explanation of Medical Benefits form, as
applicable:
• Their usual and customary charge
• The appropriate claim adjustment reason code, NCPDP (National Council for Prescription Drug Programs) reject code, or
other insurance indicator
• The amount, if any, actually received from other health insurance as the amount paid by other health insurance
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
7668e32b0f1d90f2f4883b8cc1901bfc0264e3b034d8e04925fc997aca22dc7a
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