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Provider Login

Login to view authorization status, claims status, claims submission, member eligibility, and secure messaging.

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State of Wisconsin/ETF
Provider Resources

Claims Resources

QuickClaim User Manual Access QuickClaim
ECHO Provider Enrollment Guide ECHO Provider FAQ
ECHO Provider Communication Letter ECHO Provider Communication Summary
 

Claims & Appeal Forms

Available Electronic Data Partners Claims Status Inquiry 276-277
 
Electronic Claims Submission 837 Eligibility Benefit Inquiry 270-271
Medical Claim Notes Provider Appeal

Prior Authorization Resources

Prior Authorization Guidelines


Prior Authorization Forms

Cardiac/Pulmonary Rehab DME PT/OT/ST Intensive Outpatient Treatment
Home Health   Inpatient Admission  Out of Network  Day Treatment/Partial Hospitalization
Service/Procedure Behavioral Health Inpatient Admission Neuro/Psychological Testing