WPS Health Insurance

EDI Enrollment Forms

EDI - Electronic Claims Submission (837)

Provider EDI Self-Registration is an option that is available for providers to self-register when using a third party (clearinghouse) for electronic claims submission. This process does not require the provider to have an account in WPS Community Manager.

Once the above form has been completed an email will be sent containing the required EDI Provider Transactions Agreement.

ERA - Electronic Remittance Advice (835)

Provider Management of ERA Enrollment is an option that is available for providers to self-register when using a third party (clearinghouse) for electronic remittance advice. This process does not require the provider to have an account in WPS Community Manager.

Once the above form has been completed an email will be sent containing the required ERA Agreement.

IMPORTANT Providers who prefer to receive ERA (835) directly to their office are required to complete an initial registration through WPS Community Manager before enrolling for ERA.

EFT - Electronic Funds Transfer (non-Medicare)

Electronic Funds Transfer (EFT) is a direct deposit to your bank account and replaces paper checks.

EFT (Medicare)
For information on completing Medicare EFT, click on the appropriate Medicare jurisdiction below. After you have selected your jurisdiction, you will choose “Financial Reporting” from the “WPS GHA Department” drop-down menu.

Adding additional Lines of Business and Transactions

Line of Business/TXN Configuration Edit Form allows direct submitters to add additional lines of business and transaction combinations to transact with WPS.

The username and password for this form is the same as your WPS Community Manager login.

Once the LOB/TXN Configuration Edit form has been completed an email will be sent confirming receipt and will also include any additional steps or required agreements.

Available X12 Transactions

837 Professional Claim Inbound 837 Institutional Claim Inbound
270/271 Eligibility–Real Time 270/271 Eligibility–Batch
276/277 Claim Status–Real Time 276/277 Claim Status–Batch
835 Remittance 820 Premium Payment Inbound
834 Enrollment Outbound   834 Enrollment Inbound

IMPORTANT – Direct Submitters are required to complete an initial registration through WPS Community Manager before enrolling for any additional LOB/TXN combinations. Direct Submitters are providers or other entities that submit transactions directly to WPS without using a clearinghouse.

Note: If you are an Existing Direct Submitter and have not yet gained access to your WPS Community Manager account, please send an email to CommunityManager@wpsic.com indicating you are an existing Trading Partner requesting initial access to WPS Community Manager. You do not need to complete a new registration.