MedicaidAdministrativeMedium impact
Information for Wisconsin Medicaid Provider Services calls, What's new on the Medicaid Web site, Common Explanation of Benefit codes for denied claims, and HIPAA Up-to-date
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Oct 1, 2000
We identified it
Jun 20, 2026
Summary
Wisconsin Medicaid updated provider guidance on contact procedures, common claim denial codes, and HIPAA compliance information. The policy provides reference information for efficiently contacting Provider Services and avoiding common billing errors that lead to denied claims.
Action Required
Billing team should review common EOB denial codes (281, 424, 278, 100, 614, 029) and ensure Wisconsin Medicaid claims include correct recipient ID numbers, provider names/numbers matching certification letters, and recipient names matching EVS system. Verify recipient eligibility and other insurance information before claim submission to reduce denials.