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Medicaid Wisconsin

Medicaid WI

Primary payer ID
100306Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from Medicaid Wisconsin? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicaid Wisconsin

Substrate can help practices and billers with the following claims tasks for Medicaid Wisconsin.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Wisconsin.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Wisconsin.

Available

Frequently asked questions

Medicaid Wisconsin payer FAQs

How do I check claim status with Medicaid Wisconsin?

Providers check Medicaid Wisconsin via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Medicaid Wisconsin?

The primary payer ID for Medicaid Wisconsin is 100306. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Medicaid Wisconsin?

The 837P and 837I payer ID for Medicaid Wisconsin is 100306 via Stedi.

What is the 835 payer ID for Medicaid Wisconsin?

The 835 payer ID for Medicaid Wisconsin is 100306 via Stedi.

What is the 270 payer ID for Medicaid Wisconsin?

The 270 payer IDs for Medicaid Wisconsin are 100306 via Stedi and 100306 via Availity.

What is the 276 payer ID for Medicaid Wisconsin?

The 276 payer ID for Medicaid Wisconsin is 100306 via Stedi.

What state does Medicaid Wisconsin operate in?

Medicaid Wisconsin operates in WI.

Resource library

Routing reference

Medicaid Wisconsin payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Medicaid Wisconsin payer name, operating states, and transaction-specific payer IDs
Payer nameMedicaid Wisconsin
Operating statesWI
837P professional claims payer IDStedi100306
837I institutional claims payer IDStedi100306
835 ERA payer IDStedi100306Enrollment required
270 eligibility payer IDStedi100306
270 eligibility payer IDAvaility100306
276 claim status payer IDStedi100306

Payer contact directory

Medicaid Wisconsin phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Payer phone
(800) 947-9627Medicaid Wisconsin
Medicaid Wisconsin payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(480) 391-4600Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS/CAREMARK
phone(517) 349-6000Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF MICHIGAN
phone(608) 251-4156Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • GROUP HEALTH COOP OF SOUTH CENTRAL WI
phone(608) 276-6620Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ALLIANCE
phone(800) 236-3712Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL WI GROUP
phone(800) 362-3307Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • QUARTZ
phone(800) 448-6262Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • HUMANA (M+C)
phone(800) 462-3522Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AMERICAN FAMILY LIFE
phone(800) 462-5410Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL ARKANSAS
phone(800) 472-2363Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SECURITY HEALTH PLAN
phone(800) 490-6201Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE CROSS BLUE SHIELD COMP-CARE
phone(800) 507-3800Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION PLAN OF WISCONSIN, INC.
phone(800) 521-3605Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EYEMED VISION CARE/FIRST AMERICAN ADMINI
phone(800) 558-4444Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • HUMANA DENTAL
phone(800) 638-3120Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UHC VISION (SPECTERA VISION)
phone(800) 672-7723Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • NATIONAL VISION ADMINISTRATORS
phone(800) 782-2680Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • WPS HEALTH INSURANCE
phone(800) 784-0881Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
phone(800) 797-9791Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM RX (FORMERLY CATAMARAN)
  • OPTUMRX BK2
phone(800) 842-5724Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UNITED HEALTHCARE
phone(800) 873-4542Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • GUARDIAN LIFE INSURANCE CO
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • WISCONSIN VISION SERVICE PLAN
phone(800) 880-2583Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BC BS OF OHIO COMMUNITY INS AND KENTUCKY
phone(800) 897-1923Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • QUARTZ MEDICARE ADVANTAGE (GUNDERSEN M+C
phone(800) 942-0854Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • METROPOLITAN LIFE INSURANCE
phone(866) 333-2757Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • NAVITUS HEALTH SOLUTIONS
phone(866) 364-2374Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ANTHEM BLUE CROSS/SMART VALUE
phone(866) 624-6261Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • QUARTZ ALIGN
phone(877) 559-2955Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • INNOVIANT BY PRESCRIPTION SOLUTIONS
phone(877) 842-3210Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UNITED HEALTHCARE
phone(888) 274-5186Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • PRIME THERAPEUTICS INC
phone(888) 525-9296Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ANTHEM DENTAL
phone(888) 632-3862Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AETNA
  • AETNA PHARMACY MANAGEMENT
phone(800) 280-2348Other stated contextBenefit context: Managed Care Coordinator
  • MHS HEALTH WISCONSIN
phone(800) 362-3310Other stated contextBenefit context: Managed Care Coordinator
  • QUARTZ
phone(800) 504-9660Other stated contextBenefit context: Managed Care Coordinator
  • UNITED HEALTHCARE COMMUNITY PLAN
phone(800) 791-3044Other stated contextBenefit context: Managed Care Coordinator
  • SECURITY HEALTH PLAN OF WISC
phone(800) 963-0035Other stated contextBenefit context: Managed Care Coordinator
  • MCW GSR2
phone(855) 690-7800Other stated contextBenefit context: Managed Care Coordinator
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(877) 622-6700Other stated contextBenefit context: Managed Care Coordinator
  • INCLUSA GSR2
  • INCLUSA GSR3
  • INCLUSA GSR5
phone(888) 203-7770Other stated contextBenefit context: Managed Care Coordinator
  • GROUP HEALTH COOPERATIVE OF EAU CLAIRE
phone(800) 947-9627
  • Medicaid Wisconsin
  • WISC_TXIX

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 100306
  • 10202
  • 10453
  • 1467
  • 5510
  • CKWI1
  • SKWI0
  • SKWI2
  • WIMCD
  • WISC_TXIX
  • BadgerCare
  • Wisconsin Department of Health Services
  • Wisconsin ForwardHealth
  • WISCONSIN MEDICAID