As part of our commitment to provide you with better and more efficient services, our front-end EDI system is being upgraded.
with new EDI Express Enrollment (E3) System.
On Saturday, 9/22/2018, TIBCO will be unavailable between 6 p.m. and 12 a.m. CT.
EDI 270/271 Real-time Transactions
Due to multi-platform system error, there was a problem in responses of 270/271 Real-time transactions. Starting at 11:49 a.m. on Thursday, Sept. 13, there was an increased rate of successful responses. Efforts are continuing to fully address this multi-factor issue. We apologize for any inconvenience this may have caused and will provide updates as frequently as possible.
Acknowledgements Delays on 9/12/18 and 9/13/18
There was a delay in sending of 277CA acknowledgments between 5:22 p.m. CT on Sept. 12 and 8:16 a.m. CT, Sept. 13 due to an unscheduled system outage. It is expected that all claim file receipts will be accounted for by end of day, Sept. 13.
This affects the following lines of business:
Acknowledgment Issue—Multiple Acknowledgments Generated for the Same Claim File
WPS is aware that some of our trading partners have intermittently received multiple claim acknowledgments (277CA) for the same claim file. When multiple acknowledgments are received, one accurately displays accepted/rejected claims, and the others indicate the file is a duplicate. The duplicate file acknowledgments are typically received on the same day as the original, valid acknowledgment and should be disregarded. We are working to address the system issue associated with this situation and apologize for any confusion caused by the multiple acknowledgments.
The WPS Corporate Services–EDI department has a dedicated team whose primary function is to consult and serve providers regarding Electronic Data Interchange (EDI) use. Our team is experienced in dealing with a variety of provider specialties, billing services, and software vendors.
We continue to offer and improve our superior EDI software products based on our Trading Partners’ needs, as well as our supplemental EDI products, such as Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), and real-time eligibility and claim status transactions
WPS Health Insurance has years of experience in EDI transaction processing. We provide EDI services to our Trading Partners for WPS Health Insurance, TRICARE East Region, TRICARE Overseas, TRICARE For Life, Medicare MAC J5 Parts A and B, MAC J8 Parts A and B, Arise Health Plan, Aspirus Arise, EPIC Specialty Benefits, and the Department of Veterans Affairs (VAPC3) contracts.
We look forward to working closely with all of our Trading Partners to provide excellent EDI service and support today and into the future. Providers who are interested in becoming an EDI Trading Partner with WPS should contact our EDI team.