Wisconsin Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Wisconsin (WI).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
72 hours
Key Regulations
- Standard PA turnaround of 14 calendar days
- Urgent requests within 72 hours
Wisconsin Medicaid PA
Wisconsin Medicaid (BadgerCare Plus) uses managed care. PA administered by MCOs.
Top Payers in Wisconsin
Anthem Blue Cross Blue ShieldQuartzUnitedHealthcareDean Health PlanGroup Health Cooperative
State Regulatory Body: Wisconsin Office of the Commissioner of Insurance
File PA complaints or appeals through your state insurance department.
Automate PA in Wisconsin
Greenlight knows every payer's PA requirements in Wisconsin and checks them automatically before every appointment -- so your staff does not have to.
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