BadgerCare Plus Transactions

Claims Submission (837)

Electronic claim submission allows for standardized transmission of claims data, resulting in fewer rejections and more streamlined claims adjudication. If necessary, work with your clearinghouse or billing service to arrange transmission.

Alternative claim submission option for either the 837 EDI or paper claim submission methods – SmartData Stream Clearinghouse Portal.

CCHP’s claim administrator, Dean Health Plan, has partnered with SmartData Solutions to offer claim submission by manually keying in the claim information and submitting them electronically through the SmartData Stream Clearinghouse Portal. There is no cost to providers or trading partners who submit their claims using this portal. Rejected claims can be corrected and resubmitted through this portal tool. Register by contacting Smart Data Solutions at (855)297-4436. Our Payer ID is 39113.

Claim Acknowledgement (277CA)

Claim Acknowledgement (277CA) Electronic claims acknowledgement provides a claim-level acknowledgement of all claims received in the front-end processing system before claims are sent into our adjudication system. 

In addition, the Confirmation Reports Portal is available to confirm claims submission and receipt. This Portal also gives you access to Notice of claim rejection.