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Wisconsin Physician Services Transition
Frequently Asked Questions
 
EDI
 
What is the phone number for clinics utilizing modems to directly submit?
To submit claims providers must have a user ID and password which can be obtained by self-registration. The number for claims submission by modem is 608-287-1581.
 
When may test transactions be submitted to WPS? The website indicates 12/15/07.
Testing is now available although non-specific, intermittent problems have been reported.
 
If a practice does not use ASK as its claims clearinghouse (perhaps using Emdeon, ECP, WebMD, etc), do practices need to be concerned about sending electronic claims to WPS?

A practice submitting claims through ASK will no longer be able to use ASK for Medicare claims submission. They may continue to use ASK for BCBS and commercial claims. To submit claims to WPS there are three options:
     1) Directly through a dial-up modem if the practice's software creates HIPAA compliant claims;
     2) Through a clearinghouse that sends claims to WPS (possibly a mor expensive option than ASK has been);
     3) Direct using PC-ACE
A practice should contact either its software vendor or its clearinghouse to determine how it will submit Medicare claims to WPS.

Will the IVR system at WPS require the P-TAN (legacy numbers) to check claim status or will NPI be the requirement?
According to the IVR computer based training module (CBT) on the WPS web site, providers will need their P-TAN or legacy numbers to complete the calls to check claim status. The web address to the CBT modules is:
http://www.wpsmedicare.com/mac/education/b_cbt.shtml
 
Will each clinic receive written verification of EFT set up and readiness?
This is a question for WPS EDI. EDI Support can be contacted at 1-866-503-9670.
 
Does WPS plan to go to a web-based submission (similar to ASK, Kansas Medicaid, etc)?
For security reasons, CMS does not allow web-based claim submission.
 
 
 

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