The Provider Portal application will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance. User ID: Password: Show password Providers can use the PA features on the ForwardHealth Portal to do the following:. Click here to access the Children's Incident Tracking and Reporting (CITR) application. HealthCheck Services The Wisconsin Medicaid program (ForwardHealth) gives an overview of the comprehensive preventive well-child screening program for Medicaid-eligible children. Provider Login. o One of the following is required along with the to and from date of service (DOS): –Member ID number –Social Security number and date of birth –Member first/last name and date of birth o The verification tracking number is … If you need assistance, please Click Here or contact the ProviderPortal SM Support Team at To view, save, or print the form, click Print as PDF. Please enter your credentials. 4. To learn more about a program, click on the program name listed below. A new browser window will open displaying a PDF copy of the form. Providers can then make any desired changes to the claim and submit it as a new claim. Some payers support special services on the Portal like checking claim status, resolving overpayments, and managing attachments. ForwardHealth Portal Copying a Claim Instruction Sheet February 17, 2017 P-00969E Copying a Claim 1 Copying a Claim Providers may copy a claim if it is in Pay status. All the information on the claim will be copied to a new claim. ForwardHealth Portal Prior Authorization. The ForwardHealth Portal serves as the interface to ForwardHealth interChange, the new Medicaid Management Information System for the state of Wisconsin. Username: Password: Register (New Administrator) Forgot Password? Once the administrator is given access to the UCare Provider Portal, the administrator will setup additional users within your clinic/facility. Chrome is the preferred web browser to access the applications. The register link above is to be completed by only one administrator within your clinic/facility. It’s ideal for direct data entry, from eligibility to authorizations to filing claims, and getting remittances. Submit PA requests and amendments for all services that require PA. Save a partially completed PA request and return at … UnitedHealthcare's home for Care Provider information with 24/7 access to Link self-service tools, medical policies, news bulletins, and great resources to support administrative tasks including eligibility, claims and prior authorizations. ForwardHealth Provider Portal. The Provider Portal gives you free, real-time access to many payers through your browser. ForwardHealth Provider Portal Wisconsin Well Woman Program Reporting Form Search User Guide June 4, 2019 3 Search for Wisconsin Well Woman Program Reporting Forms 9 . ForwardHealth brings together many Department of Health Services health care and nutritional assistance benefit programs with the goal of improving health outcomes for members and creating efficiencies for providers. Registration.