Community Care Claims Submission Portal

IMPORTANT NOTICE TO PROVIDERS – Community Care experienced a significant system outage on Thursday, January 13, 2022. If you entered any claims from 8:30 am to 10:30 am on January 13th, you will need to re-enter those claims. We apologize for the inconvenience.

IMPORT ANNOUNCEMENTS REGARDING CLAIM PAYMENT DATES

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. Click here to see the proposed calendar for 2019. This calendar will be updated if the schedule changes.

 

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.