WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #661
Receiving Notification
When a provider-based billing claim is created, the provider will receive the following:
• A notification letter.
• A Provider-Based Billing Summary. The summary lists each claim from which a provider-based billing claim was created.
The summary also indicates the corresponding primary payer for each claim and necessary information for providers to
review and handle each claim.
If a member has coverage through multiple other health insurance sources, the provider may receive additional provider-based
billing summaries and provider-based billing claims for each other health insurance source that is on file.
Accessing Provider-Based Billing Summary Reports
Providers can retrieve provider-based billing summary reports through the Portal by logging in to their secure provider Portal
account. Once logged in, providers can click the Provider Based Bills (PBB) link located in the Quick Links box of the Providers
area of the Portal to access the Provider Based Billing page. This page has links for the provider to download provider-based
summary reports in .csv or .pdf format.
Refer to the Provider-Based Billing Retrieval User Guide for step-by-step instructions on how to access the Provider Based
Billing page and download provider-based summary reports.
Note: ForwardHealth also sends the paper provider-based billing summary report to the provider's "mail to" address on file in the
Portal.
The provider-based billing process runs monthly on the first full weekend of every month, and files are available once the process
is completed.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
0b8686df15f9b9773600f43254795d844da074da6868085fcdaf2e81ed075e8d
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