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Form F-13393 Trading Partner 835 Designation - Wisconsin
What Is Form F-13393?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form F-13393 Trading Partner 835 Designation?
A: Form F-13393 Trading Partner 835 Designation is a form used in Wisconsin for designating a trading partner for receiving electronic remittance advice (ERA) in the 835 format.
Q: What is the purpose of Form F-13393?
A: The purpose of Form F-13393 is to designate a trading partner to receive ERA in the 835 format, which provides detailed payment information from a healthcare insurance plan.
Q: Who should use Form F-13393?
A: Healthcare providers in Wisconsin who want to receive ERA in the 835 format should use Form F-13393 to designate a trading partner.
Q: Are there any fees associated with Form F-13393?
A: No, there are no fees associated with Form F-13393 Trading Partner 835 Designation.
Form Details:
- Released on February 1, 2010;
- The latest edition provided by the Wisconsin Department of Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form F-13393 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
