Medicaid Wisconsin

Summary

Medicaid Wisconsin is a dental, medical, and vision payer operating in Wisconsin. Claims route under payer ID 100306, with 9 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

100306Also seen as 10202, 10453, 1467, 5510, CKWI1, SKWI0 and 3 more

Also known as

BadgerCare, Wisconsin Department of Health Services, Wisconsin ForwardHealth

Service area

WI

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Medicaid Wisconsin?

The payer ID for Medicaid Wisconsin is 100306. Alternate IDs seen across clearinghouses include 10202, 10453, 1467, 5510.

Does Medicaid Wisconsin require ERA enrollment?

Yes. Medicaid Wisconsin requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicaid Wisconsin cover?

Medicaid Wisconsin operates in WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicaid Wisconsin offer?

Medicaid Wisconsin covers dental, medical, and vision.

Can I submit claims to Medicaid Wisconsin electronically?

Yes. Medicaid Wisconsin is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).