Payer Forum Question Form for July 2024

Association members are invited to submit their questions for Wisconsin Payers.  PLEASE: NO PHI or other Patient Identifiers

Timeline & Due Dates:

June 14, 2024 Questions Due for Payers from Members HLA-WI Members
June 18, 2024 Questions Due to Payers HLA-WI Executive Director
July 8, 2024 Responses from Payers due to HLA-WI Payer Representatives
July 15, 2024 July Payer Forum  

Please submit a separate form for each question!

Please Note:  As responses from payers are received - they will be posted to the Association Online Database (PAKKER).  LEARN MORE ABOUT REGISTERING FOR PAKKER HERE (Association Member Benefit Only)

Questions about the event?  Email Association Executive Director:  Jean Thomas, CMPE |

Question Submitted By
Your Name: *
Your Organization: *
Your Title: *
Best number to reach you in the event that clarification is needed: *
Your Email: *
Question Details
Question for: *
Third Party Payer
Medicare Advantage
Other (Describe in next question)
Explain Other:
Question relates to: *
BOTH Facility AND Professional
Procedure code in question (if there is more than one, please submit a separate form):
Scenario that code is used in:
Provider types:
Additional Information:
Is your question prompted by:
New Service
General Policy/Coverage Research/Policy Rationale
Denials (If Denials please provide detail in next question)
If you answered 'Denials' in the previous question, please provide the denial code(s) being used:

Thank you for submitting your questions for the Wisconsin Payers.

Have questions?  Email HLA Wisconsin Association Executive Director:  Jean Thomas, CMPE |