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Community Care Claims Submission Portal

 


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Community Care Claims Submission Portal

Welcome to the Community Care Claim Submission Portal. Community Care has created this portal to assist you in submitting claims that meet the Centers for Medicare and Medicaid Services(CMS) and State of Wisconsin Department of Health Services (DHS) requirements.

Scheduled Service Outages: Service is scheduled Saturday, February 18th, 2017 from 10pm to Midnight CST. This portal will be unavailable during the scheduled service date.

IMPORTANT NOTICE FOR PROVIDERS

On October 1st, 2015 medical coding in the United States transitioned from ICD-9 to ICD-10 diagnosis codes.

How this change will affect you.

The copy claim data functionality in the claim submission portal will continue to be automated. With the changes dictated by ICD 10, when selecting enter claim data it will still automatically provide the same claim data but will automatically insert an appropriate ICD 10 code (R6889) under the same authorization.

If you try to submit an ICD 9 diagnosis code you will get an error message preventing you from submitting. Please use the ICD 10 code R6889.

Download: CMS ICD 10 Guide For Providers
For any questions or concerns please contact the provider hotline toll free at 1-866-937-2783 option "1" between the hours of 8am to 4:30pm Monday through Friday (Central Time). Send feedback or questions about the site to the provider education specialist inbox

Click to download:  CSP User Manual  |  Corrected Claim Directions

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.