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Community Care Claims Submission Portal

 


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Community Care Claims Submission Portal


IMPORT ANNOUNCEMENTS REGARDING CLAIM PAYMENT DATES

1. Week of July 1-5, 2019

Due to the 4th of July holiday, Community Care Inc. will not be issuing checks or EFTs for payment of claims during this week. Payments will be issued on Monday July 8, 2019.

2. Change in Claim Payment Schedule beginning the Week of August 5, 2019

As a non- profit Managed Care Organization (MCO), Community Care, Inc. continuously strives to reduce administrative costs and maximize efficiency. As part of those efforts, Community Care Inc. will be reducing the number of check runs to issue claim payments from twice a week to once a week. Generally, the weekly claim payments will be issued on Wednesdays but is subject to change during holiday weeks. Watch for a full calendar to be posted soon.

 

IMPORTANT REMINDERS

Remember to always sign off on your authorizations in the Authorization Provider Portal (APP) before submitting your claims. https://app.communitycareinc.org:8443/

Remember to hit the ACCEPT button on the Review and Accept Claim Submission page. This is the final step that submits the claim.


Click to download:  CSP User Manual 

Click to download:   UB04 Claim Form Instructions   |   UB04 Claim Form Download  |  Download UB04 Claim Form-Excel

Important notice: To ensure that claims are paid accurately and promptly, please make sure to use the correct type of bill for services provided. This field is located in the claim data box. Failure to submit the correct type of bill may result in claim denial. Community Care Inc. is required to report a valid type of bill to the Centers of Medicare & Medicaid Services (CMS) and the State of Wisconsin Department of Health and Human Services (DHS).

CLICK HERE to review the type of bill chart for guidance on selecting the correct type of bill.