If you would like to ask our Wisconsin Provider Services Department a question, please fill out the below information along with your question.
In order to adhere to CMS Privacy Act Regulations, please DO NOT include any beneficiary information such as their HIC Number, name, address or birthdate. Any questions that include Privacy Act Information will not be answered electronically. For specific claims questions, please call our Provider Toll Free Number at 1-877-309-4290
Facility Name:
Your Name:
Provider Number:
Address:
City:
State: Zip Code:
Phone Number:
Fax Number:
Email address:
Question:
