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Claims that do not contain the required elements will be rejected and the provider will be required to resubmit after making the necessary corrections. Most information needed to submit clean claims is available in the authorization detail on the ContinuUs Provider Portal. Rate information for negotiated rate services is available on the Services, Rates, and Special Provisions Letter (SRSP).
Elements of a clean claim are as follows:
If the service provided is a Medicaid service, the clean claim must also be submitted in a format and coding system acceptable to Wisconsin’s Medicaid program.
Administration Office28526 US Hwy 14Lone Rock, WI 53556P: 608-647-4729 F: 608-647-4754