Form F-11025 Rural Health Clinic Commercial Insurance-Primary / Medicaid-Secondary Encounters Submitted to Medicaid Hmos - Wisconsin

Form F-11025 Rural Health Clinic Commercial Insurance-Primary / Medicaid-Secondary Encounters Submitted to Medicaid Hmos - Wisconsin

What Is Form F-11025?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form F-11025?
A: Form F-11025 is a form used for submitting Rural Health Clinic Commercial Insurance-Primary/Medicaid-Secondary encounters to Medicaid HMOs in Wisconsin.

Q: What is a Rural Health Clinic?
A: A Rural Health Clinic is a healthcare facility located in a rural area that provides primary care services to residents of that area.

Q: What is Commercial Insurance-Primary/Medicaid-Secondary?
A: Commercial Insurance-Primary/Medicaid-Secondary refers to a billing arrangement where a patient has commercial insurance as their primary insurance and Medicaid as their secondary insurance.

Q: What are Medicaid HMOs?
A: Medicaid HMOs are managed care organizations that contract with Medicaid to provide healthcare services to beneficiaries.

Q: What is the purpose of submitting encounters to Medicaid HMOs?
A: Submitting encounters to Medicaid HMOs allows the Rural Health Clinic to receive reimbursement for the healthcare services provided to Medicaid beneficiaries.

Q: Is this form specific to Wisconsin?
A: Yes, this form is specific to submitting encounters to Medicaid HMOs in Wisconsin.

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Form Details:

  • Released on April 1, 2009;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F-11025 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-11025 Rural Health Clinic Commercial Insurance-Primary / Medicaid-Secondary Encounters Submitted to Medicaid Hmos - Wisconsin

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