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.

Sign up for InstaMed

Medicaid claim payments through InstaMed

We are currently making payments for Medicaid claims through InstaMed. Please use the links below to sign up for EFT/ERA enrollment with InstaMed.

If you are already signed up through InstaMed you do not need to register again. In order to receive electronic payments, each provider TIN and NPI needs to be registered. If a provider does not sign up for InstaMed a paper check and paper EOP will be sent.

Providers are encouraged to use the online registration solution, however providers can also contact InstaMed’s network development team at 866-945-7990 to register.

View Online Registration Video

View EFT/ERA Experience Video