Secondary Insurance

As a CCHP provider there may be times when you are providing services or plan to provide services to a CCHP member and you determine that CCHP is not the primary insurance carrier.

Please do not submit any request for authorization through the provider portal and/or submit medical claims for payment until you have billed the primary insurer.

If a request is received and it is determined that CCHP is not the primary insurer, the request will not be processed.

Providers should bill for coordination of benefits ONLY when the primary carrier has been billed and a remittance advice statement has been received showing a balance remaining. Coordination of Benefits is a process that defines which health carrier or insurance company pays as primary when a member has more than one source of coverage for health care benefits.

As a Wisconsin Medicaid health plan, CCHP is considered the payer of last resort.