Administrative & Billing
- Advance Directive Chart Labels (PDF)
- Advance Directive Declaration (PDF)
- Claim Appeal Form (PDF)
- Electronic Funds Transfer/Electronic Remittance Advice (PDF)
- HPSA-Eligible ZIP and Procedure Codes (PDF)
- Information Changes About Your Practice (PDF)
- Interpreters (PDF)
- Notify Us When a Member is Pregnant (PDF)
- Smoking Cessation Billing Codes:
- Intermediate smoking and tobacco-use cessation counseling visit, 3 to 10 minutes (CPT 99406)
- Intensive smoking and tobacco-use cessation counseling visit, 10 minutes + (CPT 99407)
- Tobacco-use disorder (ICD-9 305.1)
MHS WI