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Commercial Eligibility Verification Vendors

Wisconsin Medicaid has certified several commercial eligibility verification vendors to offer real-time technology to Medicaid providers. Eligibility verification vendors have real-time, up-to-date access to the Medicaid eligibility files to assure that providers have access to the most current eligibility information.

Wisconsin Medicaid Contacts

Updated October 2005

These vendors are responsible for selling the magnetic stripe card readers, personal computer software, Internet, and other services. These vendors also perform all services relating to ongoing maintenance, operations, and upgrades of their systems. Medicaid providers are responsible for the costs of using these types of eligibility verification methods.

Note: Providers are not required to purchase services from a commercial eligibility verification vendor. For more information on other ways to verify recipient eligibility or if you have questions about the Forward card, please contact Provider Services at (800) 947-9627 or (608) 221-9883.

If you would like more information regarding the readers or software, contact a vendor from the following list (be sure to call more than one so that you get a variety of price quotations):

Healthcare Data Exchange, LLC
51 Valley Stream Pkwy
Malvern PA 19355
(610) 219-1600
Fax (610) 219-1384
www.hdx.com/

Passport Health Communications, Inc.
720 Cool Springs Blvd
Ste 450
Franklin TN 37067
(888) 661-5657
(615) 661-5657
Fax (615) 376-3552
www.passporthealth.com/

Emdeon Business Services
669 River Drive
Center 2
Elmwood Park, NJ 07407
(201) 703-3400
Fax (201) 703-3401
www.emdeon.com

Wisconsin Health Information Network (WHIN)
11217 W Forest Home Ave
Franklin WI 53132
(800) 331-9446
(414) 448-1100
Fax (414) 448-1202
www.whin.net/

Independent Physicians Network
Ste 300
6767 W Greenfield Ave
Milwaukee WI 53214
(414) 771-6177
Fax (414) 771-1159
www.ipn-wi.com/

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Wisconsin Department of Health and Family Services
Protecting and promoting the health and safety of the people of Wisconsin