BadgerCare Plus Claims
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BadgerCare Plus Claims

To allow for more efficient processing of claims, we ask for your cooperation with the following:

  • When submitting claims use the correct and complete member number.
  • Submit claims in a timely manner.
  • CCHP does not accept faxed claims. Claims should be sent electronically or by paper. Providers are encouraged to submit claims electronically.
  • CCHP asks providers to allow 45 days to pass from the date of submission before calling to check the status of claims.
  • Review rejection reports. Correct and resubmit rejected claims.
  • Claims must include the correct billing and rendering NPI and taxonomy. If the information submitted on the claim is different than what is registered with ForwardHealth, your claim will reject

 

 

Claims Submission

To allow for more efficient processing of your claims, we ask for your cooperation with the following:

  • When submitting claims use the correct and complete member number. Using the correct member number on the claim helps ensure correct and timely payment.
  • Children’s Community Health Plan requires providers file claims in a timely manner.
  • Claims must be submitted in accordance with the claim-filing limit outlined in your Provider Network Service Agreement.
  • CCHP does not accept faxes for claims.
  • All claims must have the providers’ NPI numbers and taxonomy codes on their claims. If the taxonomy on your claim is different than what is registered with the state, your claim will reject.
  • CCHP NPI and Taxonomy Billing Requirement Guide
  • Children’s Community Health Plan Taxonomy Quick Reference Guide
  • Children’s Community Health Plan asks that providers allow 45 days to pass from the date of the submission before calling to check the status of claims.
Claims Mailing Address


Children’s Community Health Plan


P.O Box  56099

Madison, WI 53705

Submitting Corrected Claims

To allow our system to read and acknowledge corrected claims, please follow the instructions in CCHP’s Corrected Claim Submittal Guide.  

Submitting Claim Appeals

Provider appeals must be submitted using CCHP’s Provider Appeal/Claim Review Request Form. Please send one form and supporting documentation per claim review request.

 

Mail claim appeals to:

Children’s Community Health Plan

PO Box 56099

Madison, WI 53705

 

Electronic Claims Submission
  • Providers are encouraged to submit claims electronically.
  • EDI Payer number is 39113
  • Manually Key in claims and submit electronically through Smart Data Stream Clearing House Portal
Questions

For questions regarding claims and claims payments, please contact CCHP Customer Service at 800-482-8010

For questions or problems with auto authorizations, call CCHP Clinical Services department at 414-266-5707 or 877-227-1142, option 2.

For questions about your participation with CCHP, please contact CCHP Provider Relations at 844-229-2775.

Medicaid

Children's Community Health Plan

PO Box 56099
Madison, WI 53705
1-800-482-8010

Together with CCHP

Children's Community Health Plan

PO Box 1997, MS 6280
Milwaukee, WI 53201
1-844-201-4672

 

All Rights Reserved.
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