J5 WPS: Iowa Medicare
Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Iowa. If you are a provider located in Jurisdiction 5 and need to become an electronic submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.
WPS recently implemented their new WPS EDI Express Enrollment Self-Service tool for Trading Partner enrollment and management. This will allow you to create your own account, register your line of business and transactions, and retrieve and submit agreements.
Please click the following link to begin registration: https://edi.wpsic.com/edir/home
Click "Enroll Now" under Providers if you are a healthcare provider
If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
Please click the link and set your password with the following requirements:
Exactly 9 characters long with at least one upper case, lower case, a number and a symbol
Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete
Electronic Remittance Advice (835's)
- If you need electronic remittance advice, please call WPS and ask for the 835 enrollment form. They will email you an application to complete and send back. Please give us a call if you need help with that form.
Once you have completed the enrollment steps outlined above and have your Submitter ID, Community Manager Login ID, and Community Manager Password, please call ClaimShuttle at 602-439-2525 to complete the mailbox setup and test submission. Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.
Once testing is complete, the "Line of Business/Transaction Production Approval Form" must be completed in order to obtain production approval. We will assist you with completing and submitting this form once the test batch has been submitted.
You will receive an email within 3-5 business days stating whether production approval has been granted or denied. Once you have been granted production approval you will need to contact your ClaimShuttle Support Representative so they can finish the setup and assist with your first production batch. If you have any issues with enrollment for claims or remits please feel free to give us a call at 602-439-2525. You can also reach out to WPS directly at 1-866-518-3285.