WPS Health Insurance

Single Point of Contact (SPOC)

WPS Medicare Single Toll Free Contact Center for Provider Services, Electronic Data Interchange (EDI), Provider Enrollment, Reopenings and Appeals.

How will Your Call Flow?
The first thing you will hear is "Thank you for calling Medicare."

  • If there are any closure messages, you will hear them now (bad weather, training, etc.).
  • Please note that all calls are monitored (recorded) for quality assurance purposes.

Main Menu
Please state whether you are calling about EDI, Provider Enrollment, Appeals (Part A only), Reopenings (Part B only), or General Inquiries. You may also use the following keypad indicators:

  • Say EDI or Press 1
  • Say Provider Enrollment or Press 2
  • Say Appeals or Press 3
  • Say Reopening or Press 4
  • Say General Inquiries or Press 5

You will be prompted to provide additional information necessary to assist us in responding to your inquiry. Please have the following information ready:

  • NPI (National Provider Identifier)
  • PTAN (Provider Transaction Access Number)
  • Last five digits of your TIN (Tax Identification Number)
  • Submitter ID - if calling for EDI

You can either say the applicable number/alpha, or use your telephone's touchtone keypad. When using your keypad, letters are indicated by entering the star key followed by the key number and the position of the letter on the key. For example, use *52 for 'K.' The exceptions to this are 'Q' and 'Z.' Please use *11 for 'Q' and *12 for 'Z.'

You may also be prompted to say whether you are calling for Part A or Part B, or the specific state for which you are calling. The applicable states are:

  • J8: Indiana, Michigan
  • J5: Iowa, Kansas, Missouri, Nebraska or J5 National

For more information, you can say 'Help.'

EDI
You will be asked if you are calling for a password reset.

  • Say Yes or press 1
  • Say No or Press 2

If Yes, you will be asked for your Submitter ID. If No, please have your NPI, PTAN, and TIN ready. You can either say the information, or enter the information using your telephone's touchtone keypad. When using your keypad, letters are indicated by entering the star key followed by the key number and the position of the letter on the key. For example, use *52 for 'K.' The exceptions to this are 'Q' and 'Z.' Please use *11 for 'Q' and *12 for 'Z.'

Please refer to www.wpsmedicare.com for additional information on EDI.

Provider Enrollment
If you receive a letter indicating you should call a specific individual, please call the number provided in the letter to reach that individual.

  • Say "Application Status" or press 1
  • Say Revalidation or press 2
  • Say General Enrollment Inquiries or press 3

When calling Provider Enrollment please have your PTAN, NPI, and TIN ready. You may also be asked for your name, to validate against the contact name on the existing application. You can either say the information or enter the information using your telephone's touchtone pad.

Please refer to www.wpsmedicare.com for information on how to complete your applications, as well as other general provider enrollment questions

Appeals (Part A only) and Reopenings (Part B only)
When calling Appeals or Reopenings please have your NPI, PTAN and TIN ready. You can either say the information, or enter the information using your telephone's touchtone pad. Appeals - this is only for Part A. Part B appeals information is currently not available through this contact center.

  • Reopenings - this is for Part B only. Part A reopenings are not handled through this contact center
  • Please refer to www.WPSMedicare.com for additional information on Appeals and Reopenings.

General Inquiries
When calling for General Inquiries, please have your PTAN, NPI, and TIN ready. You can either say the information, or enter the information using your telephone's touchtone keypad.