Community Care Claims Submission Portal
ATTENTION – IMPORTANT REMINDER! – The hard launch for the State of Wisconsin’s Electronic Visit
Verification (EVV) is May 1, 2023.
This means if you submit Family Care or Family Care Partnership
claims with procedure codes S5125, S5126, T1019 or T1020, you must have a corresponding EVV visit
in the State’s Sandata system or your claim will be denied.
If you have questions,
please contact Community Care at contractinquiries@communitycareinc.org or 1-866-937-2783.
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.