WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #6237
Reporting a Lost Check
To report a lost check to ForwardHealth, providers are required to mail or fax a letter to ForwardHealth Financial Services.
Providers are required to include the following information in the letter:
• Provider's name and address, including the ZIP+4 code
• Provider's identification number
» For healthcare providers, include the NPI (National Provider Identifier) and taxonomy code.
» For non-healthcare providers, include the provider identification number.
• Check number, check date, and check amount (This should be recorded on the RA (Remittance Advice).)
• A written request to stop payment and reissue the check
• The signature of an authorized financial representative (An individual provider is considered his or her own authorized
financial representative.)
Fax the letter to ForwardHealth at 608-221-4567 or mail it to the following address:
ForwardHealth
Financial Services
313 Blettner Blvd
Madison WI 53784
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
5d6231a78d89cd6a01aa759ae50fde308760f517bb84d60b0c02d8d63e2fdf7c
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