Payer Forum Question Form for April 2024

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

Timeline & Due Dates:

March 22, 2024 Questions Due for Payers from Members Association Members
March 25, 2024 Questions Due to Payers Association Executive Director
April 8, 2024 Responses from Payers due to Association Payer Representatives
April 15, 2024 April 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 |