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Instructions for Form F-13393 Trading Partner 835 Designation - Wisconsin
This document contains official instructions for Form F-13393 , Trading Partner 835 Designation - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-13393 is available for download through this link.
FAQ
Q: What is Form F-13393?
A: Form F-13393 is the Trading Partner 835 Designation form specific to Wisconsin.
Q: What is the purpose of Form F-13393?
A: The purpose of Form F-13393 is to designate a Trading Partner for electronic remittance advice (ERA) in Wisconsin.
Q: What is a Trading Partner?
A: A Trading Partner is an entity that exchanges electronic transactions, such as claims and remittance advice, with a health plan or other organization.
Q: Who needs to complete Form F-13393?
A: Any entity that wants to receive electronic remittance advice (ERA) in Wisconsin needs to complete Form F-13393.
Q: Are there any eligibility requirements to complete Form F-13393?
A: Yes, you must be an eligible provider, group, or billing agent in Wisconsin to complete Form F-13393.
Q: Are there any fees associated with completing Form F-13393?
A: No, there are no fees associated with completing Form F-13393.
Q: How do I submit Form F-13393?
A: You can submit Form F-13393 by mail or fax to the address or fax number specified on the form.
Q: Is there a deadline for submitting Form F-13393?
A: There is no specific deadline for submitting Form F-13393, but it is recommended to submit it as soon as possible.
Q: What should I do after submitting Form F-13393?
A: After submitting Form F-13393, you should wait for confirmation from the Wisconsin Department of Health Services (DHS) regarding your Trading Partner designation.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Wisconsin Department of Health Services.
