Verify
Validate location, Medicare program, service/code, setting, date, and exemptions from the current official source.
State guide
CMS WISeR in Washington
Verify model scope and preserve a privacy-conscious boundary between internal records and public preparation tools.
CMS and the assigned official participant’s current instructions control. WISeRly is independent, not CMS-affiliated or endorsed, not an official WISeR participant, does not issue determinations, and does not guarantee authorization or payment.
Washington preparation framework
Minimize
Use only the information necessary for the authorized official workflow. Keep PHI out of public pages, demos, emails, and unapproved systems.
Handoff
Transmit only through the assigned participant’s authorized channel and retain receipts and official notices according to policy.
Notice and deadline discipline
Use the deadline and instructions stated in the official communication. Escalate ambiguity to the participant or CMS contact rather than guessing. Keep preparation status distinct from official status, and authorization status distinct from payment.
Technology boundary: enhanced technology or AI-assisted review is not a human clinical determination. WISeRly does not make clinical determinations and cannot override, reproduce, or predict an official decision.
Documentation readiness · Timeline controls · Participant handoff
Official sources and privacy
CMS WISeR model page · CMS Provider and Supplier Guide v7.0 (PDF)
Synthetic/no-PHI boundary: public WISeRly demos and forms are not for patient information, health data, clinical records, identifiers, or claims. See the Washington Consumer Health Data Privacy Policy.