Children's Long-Term Support (CLTS) Claims Attachments and Updated Instructions
The Wisconsin Department of Health Services (DHS) and the Children's Long-Term Support (CLTS) Program have updated the instructions on how to submit claims attachments in the ForwardHealth Portal. When providers submit claims using certain codes, an itemized invoice with a description of the item or supply being purchased must be attached.
Service codes that require an itemized invoice are:
A9999–Miscellaneous durable medical equipment (DME) supply or accessory, not otherwise specified
E1399–Durable medical equipment, miscellaneous
T5999–Supply, not otherwise supplied
Claims that do not receive the required attachment(s) will be in pending status for seven days before being denied.
Updated: How to submit an attachment with a claim on the portal
The instructions for submitting claims attachments have been updated to accurately reflect the process providers will follow in the ForwardHealth Portal. When submitting a claim for one of the codes listed above, after filling out the Claim Panel, follow these steps to attach the required documentation:
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Click on the Attachment Panel and Select the “add” button.
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Enter the attachment description.
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Submit your claim. Your claim will suspend and require an attachment.
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Return to the Claims Tab and select “Upload Claim Attachments.”
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Search the claim’s internal control number (ICN). Select "Next."
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Upload your documents. A display should note that it was successfully uploaded.
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Select “Exit.”
Refer to the ForwardHealth Provider Portal Professional Claims User Guide for screenshots with the step-by-step instructions to attach documentation to claims. For help with uploading claims attachments refer to the ForwardHealth Portal Uploading Claims Attachments User Guide.
Submitting an attachment with an 837 health care claim
When you submit an 837 Health Care Claim with one of the codes above, you must indicate that you need to attach a document via the PWK segment. If you use code BM “By Mail,” you will still be able to upload an attachment. Once the claim is submitted, you can search for the claim on the portal and upload the attachment on the portal. Refer to the Companion Guides for how to use the PWK segment in 837 transactions.
Have questions or need help?
If you have questions or need help, please contact the CLTS Operations Team at cltsoperations@gainwelltechnologies.com or 844-942-5870.
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