WPS Health Insurance

Electronic Data Interchange (EDI)

edi news

News & Highlights

For details on the new Provider Web site click here

ATTENTION TRICARE For Life trading partners!

Effective July 2015, if you currently receive both Electronic Remittance Advice (ERA) and paper Explanations of Benefits (EOBs), WPS will discontinue mailing your paper EOBs. Find out more...

Updated 07/13/2015

EDI Training Closure

In order to ensure the quality and consistency of the service we provide, our EDI lines will be closed at specific times during business hours.  All EDI staff handling calls for EDI will be unavailable during the closures. Find out more...

Updated 06/03/2015

Important Claims Information

Is your office taking advantage of faster payments by filing your WPS Health Insurance, Arise, VAPC3, TRICARE and Medicare claims electronically? Find out more...

Updated 05/05/2015

5 Easy Steps for Electronic Claim Filing

Once you make the decision to send your health care claims electronically, you're only five steps away from all the benefits EDI has to offer. Find out more...

Updated 05/05/2015

How to use the WPS Trading Partner System

All providers that choose to submit EDI transactions directly to WPS will need to complete a self-registration process on our WPS Trading Partner System (WTPS) to prepare for transaction testing and production claim submission. Find out more...

Updated 05/05/2015

Did you know the TRICARE for Life program has access to electronic claims submissions?

WPS administers the TRICARE for Life program. We are pleased to announce that your TRICARE for Life claims may be submitted electronically. Find out more...

Updated 05/05/2015

And now for some administrative updates!

Has your office moved or changes address? Find out more...

Updated 05/05/2015

Don’t forget to sign up for EFT

EFT is a process that allows your payment to be deposited directly into your checking or savings account, and eliminates any delays you may encounter with mail procedures. EFT replaces the paper checks you currently receive. This is the preferred method of payment by CMS. Find out more...

Updated 05/05/2015

Don’t forget to sign up for ERA

An ERA is the electronic equivalent of the paper remittance advice (also known as Explanation of Benefits or EOB) and provides details on how your claims were processed. An ERA provides information on claims payments, deductibles, cost-shares and copays. Find out more...

Updated 05/05/2015

WPS Department of Veterans Affairs (VAPC3) Program Information

WPS is the subcontractor to TriWest Healthcare Alliance for Veterans Administration (VA) contracts including VAPC3 Regions 3, 5, and 6. Find out more...

Updated 05/05/2015

In 2015, WPS will implement new connectivity for EDI registration and transaction submission

This new and innovative solution will provide a web-based, easy-to-use self-management portal, and will also enable the secure transmission of EDI transactions. Find out more...

Updated 10/29/2014

ARISE Health Plan EDI Claims Submitted to WPS Effective 1/1/2014

Effective January 1, 2014, all Arise Health Plan EDI claims should be routed to WPS for processing. This will include any claim regardless of dates of service. Find out more...

Updated 12/12/2013

TRICARE Agency Name Change from TMA to DHA

Effective October 1, 2013 the Department of Defense established the Defense Health Agency (DHA) to manage the activities of the Military Health System. Find out more...

Updated 11/13/2013

ATTENTION TRICARE FOR LIFE TRADING PARTNERS!

If you are currently receiving Electronic Funds Transfer and have continued to receive paper EOBs, WPS will be shutting off paper EOB’s effective November 1, 2013. Find out more...

Updated 09/24/2013

ICD-10 Preparedness and Testing

WPS Electronic Data Services  is continuing to move forward with testing the EDI receipt of ICD-10 standards in the 837 transactions. Find out more...

Updated 12/03/2014

WPS Department of Veterans Affairs (VA) Program

On September 4, 2013, WPS Health Insurance (WPSHI) was selected as the subcontractor to TriWest Healthcare Alliance for Veterans Administration (VA) contracts including VAPC3 Regions 3, 5, and 6. The VAPC3 contract enhances access to health care services for Veterans by making a quality provider network available close to the Veteran’s home. Find out more...

Updated 12/23/2013

Update Your Email Address With WPS EDI!

Have you been missing important announcements about program changes, educational opportunities and important dates? Make sure your email address is current, so that we can communicate the right information to the right person. Find out more...

Posted 10/23/2012