Professional Claims

The 837 Professional claim form has several screens that you will use to complete a Medicaid or Wisconsin Well Woman Program (WWWP) claim, depending on your provider type. These screens include:

• Headers 1-3.
• Service 1, 2.
• Other Insurance.
• Other Insurance Adjustments.
• Medicare.
• Other Insurance/Medicare Service Adjustments.

Next — Completing New Professional Claims