Notice of EDI Help Desk Phone Number Update Effective April 6, 2026.
We are updating our EDI Help Desk contact phone numbers for WPS Health Plan effective April 6, 2026, to ensure you have the most accurate and efficient ways to reach our team. These updates will help improve response times and streamline your experience when contacting us. The updated phone number will be available on our EDI Contact website beginning April 6, 2026. We appreciate your patience during this transition.
Effective January 3, 2026, the ARISE payer ID will be discontinued. Going forward, all transactions for WPS Health Plan—including Large Group, ASO, and Family Care—must be submitted using the WPS payer ID. Providers who previously utilized the ARISE payer ID are required to complete a new EDI Agreement (if you haven't already) through WPS EDI Express Enrollment (E3) at wpshealth.com/resources/provider-resources/edi/enrollment.shtml.
EDI Announcement
How to Check EDI and ERA Status with WPS
WPS EDI offers a self-service Display and Reporting Tool that provides real-time access to the status of Electronic Data Interchange (EDI) and/or Electronic Remittance Advice (ERA) provider agreements. All status inquiries related to EDI and/or ERA must be completed using this tool.
The Display and Reporting Tool can be accessed using the same login credentials as your Community Manager account. If you require access, please contact a Super User within your Trading Partner Organization
Note: Providers using a clearinghouse should contact the clearinghouse directly for updates on EDI and/or ERA enrollment status.
Secure File Transfer Protocol (SFTP) via WPS Community Manager (WCM).
WPS EDI
Starting March 1, 2025, WPS Electronic Data Interchange (EDI) will no longer investigate file rejections that are more than 30 calendar days old from the date of inquiry.
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 Solutions has years of experience in EDI transaction processing. We provide EDI services to our Trading Partners for WPS Health Plan, TRICARE Overseas, TRICARE For Life, Medicare MAC J5 Parts A and B, and MAC J8 Parts A and B 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.
For the WPS Health Plan, Family Care (FAMC) and UCARE lines of business, the 277CA Claims Acknowledgments are processed by a third party, Smart Data Solutions (SDS). Acknowledgment files (TA1, 999, 277CA) will be available in the same location within WPS Gateway Express. Due to the validation and edit process, multiple 277CAs may be generated for claims within a single file/transaction. For electronic claim file rejections and acknowledgment questions, please contact SDS at stream.support@sdata.us or 855-297-4436.
