CommercialAdministrativeMedium impact
Changes to Reporting Other Coverage Discrepancies for Commercial Insurance and Medicare Coverage
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Nov 8, 2017
We identified it
Jun 20, 2026
Summary
ForwardHealth (Wisconsin Medicaid) has separated coverage discrepancy reporting into two distinct forms: one for commercial insurance and one for Medicare coverage. The old combined form will no longer be accepted after November 8, 2017.
Action Required
By November 8, 2017: Replace old Other Coverage Discrepancy Report (F-01159 09/12) with new Commercial Other Coverage Discrepancy Report (F-01159 04/2017) for commercial insurance issues and new Medicare Other Coverage Discrepancy Report (F-02074 04/2017) for Medicare coverage discrepancies. Update billing team procedures to use correct form based on coverage type. Forms submitted using old version after deadline will be returned unprocessed.