EDI Express Enrollment (E3)

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Attention

A valid WPS EDI Trading Partner ID is required to ensure timely processing of your Electronic Remittance Advice (ERA).

Enroll for Electronic Transactions

Save time and money by enrolling in paperless electronic transactions. Trading partners also use this link to add new lines of business and transactions when enrolling a new provider.

If you need to deactivate or reactivate an existing enrollment for an electronic transaction, please call the correct EDI area depending on your benefit/insurance.

MAC J5 (IA, KS, MO, NE)/National A: 866-518-3285
MAC J8 (IN, MI): 866-234-7331
Non-Medicare: 800-782-2680, option 1

Learn more about the EDI process—If you are unfamiliar with the EDI process, WPS strongly encourages you to learn more by visiting our Getting Started page.

Once you have reviewed your own 999 and 277CA response files from your test file and it is error-free, notify WPS that you believe your testing of 837 file submission is complete and you are ready to submit production 837 files.

Note: Test files for line of business WPS will only receive a 999 response file, not a 277CA. Trading partners with an error-free 999 response file may submit a production request with the transaction ID associate to that file.

A valid Transaction ID from your 999 or 277CA response file must be included in your production approval request. You can locate the Transaction ID in the History view in WPS Gateway Express.
An example is: TIBCX2X2X2X2X2X2X2X2

Instructions to find the Transaction ID are available on this link.

You can locate the Transaction ID in the History view in WPS Gateway Express

Or, in the Audit Log view view in the WPS Community Manager

Enroll for Web Portal

Please read more below for information on the available WPS portals for each benefit or insurance WPS offers.

TRICARE East Region Online Claim Submissions
No LIVE claims submissions to WPS from current TRICARE East Region providers are allowed until Jan. 1, 2018.

Qualified TRICARE East Region providers can enter claims into the portal for transmission to WPS and view remittance advices.

To submit TRICARE East Region claims on the Humana Military secured provider portal, you must be enrolled in HumanaMilitary.com (go to Provider > Resources > Self-Service).

If you are already enrolled, initiate submitting claims for TRICARE East Region.

WPS Government Health Administrators Online Portal Claim Submissions

Qualified Medicare providers can enter individual Part B claims into the portal for transmission to WPS and view remittance advices for individual Part B claims.

To submit Part B claims on the WPS Government Health Administrators portal:

You must be enrolled in Medicare Part B and have an account set up for our portal (wpsgha.com)
You must not have submitted claims electronically for the last six months

View instructions to initiate submitting claims in WPS Government Health Administrators Portal.

TRICARE4U.com Online Claim Submissions

Qualified TRICARE For Life providers can enter claims into the portal for transmission to WPS and view remittance advices by patient number or check number.

To submit TRICARE For Life claims on the TRICARE4U.com provider portal:

You must be enrolled in TRICARE4U.com
You must be a non-Medicare certified provider

If you are already enrolled, initiate submitting claims for TRICARE For Life.

TRICARE-Overseas.com Online Claim Submissions

Qualified TRICARE Overseas providers can enter claims into the portal for transmission to WPS and view remittance advices by patient number or check number.

To submit TRICARE Overseas claims on the TRICARE-Overseas.com provider portal, you must be enrolled in TRICARE-Overseas.com

If you are already enrolled, click here to initiate submitting claims in TRICARE-Overseas.com.

WPS Health Insurance and WPS Health Plan portal

Qualified providers can view status of claims and customer eligibility.

To register for access to view claim status and/or customer eligibility for the WPS Health Insurance or WPS Health Plan portals, click here.

EDI Express Enrollment (E3)

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