Claims Submission
Coordination of Benefits
Wisconsin Medicaid is the payer of last resort for most Wisconsin Medicaid-covered services. If the recipient is covered under Medicare or commercial health insurance, Wisconsin Medicaid reimburses that portion of the allowable cost remaining after exhausting all other insurance sources.
Refer to the Coordination of Benefits section of the All-Provider Handbook for information on Medicare and commercial insurance claims submission, exceptions, and the Other Coverage Discrepancy Report, HCF 1159 (PDF).
Next — Medicare/Wisconsin Medicaid Dual Entitlement
Previous — Prior Authorization, Obtaining Prior
Authorization, Submitting Prior Authorization Requests
Chiropractic Services Handbook
PHC 1306, October 2004