MedicaidAdministrativeMedium impact
Wisconsin Medicaid will split claims and claim details in certain situations
Wisconsin Medicaid (ForwardHealth)·WI·Billing
Effective date
Oct 13, 2003
We identified it
Jun 20, 2026
Summary
Starting October 13, 2003, Wisconsin Medicaid will split electronic claims with more than 28 detail lines into multiple claims, and will split certain claim details for dental services and date ranges. Split claims will appear as separate entries on remittance reports with specific remark codes MA15 and N123.
Action Required
By October 13, 2003: Billing team must update Wisconsin Medicaid claim processing workflows to handle split claims appearing as separate entries on remittance reports. Monitor for remark codes MA15 (split claims) and N123 (split details) on 835 electronic transactions. Include unique line item control numbers on all 837 electronic submissions to track split details. Note that paper claims exceeding detail line limits will be denied.