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.
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.
Form Details:
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.