Medicare MAC Jurisdiction 8 - Part A & Part B EDI

EDI Information for the J8 Implementation

Because Electronic Data Interchange (EDI) plays a vital role in efficient provider office operations; WPS' implementation goal is to minimize impacts to existing EDI submission methods. The following information outlines important facts that J8 providers should know about EDI and the J8 implementation:

EDI Information for All J8 Providers

• Providers will not need to re-enroll for EDI claims submission to WPS if you are:
  • Currently an NGS EDI customer using one of the National Service Vendors (NSVs), or
  • Currently a WPS submitter
• Providers will not need to re-enroll or re-sign Electronic Remittance Advice (ERA) requests
• Providers will need to change their current contract codes to the new MAC J8 Contract Codes on the weekend of your specified cutover. The new contract codes are:




Workload Segment	Current Codes	New J8 Codes	Cutover Dates
Indiana A	00130	08101	July 23, 2012
Indiana B	00630	08102	August 20, 2012
Michigan A	00452	08201	July 23, 2012
Michigan B	00953	08202	July 16, 2012




• CMS expects trading partners to transition to 5010 transactions. WPS can assist you with any 5010 transition issues. Please refer to the EDI 5010 readiness website for additional information
• To start submitting electronically, please call WPS toll-free at 1-866-503-9670
  • WPS provides free-billing software called PC-Ace Pro32
• If you have additional questions, please contact us toll-free at 1-866-503-9670 or EDI related questions for Part A can be sent to EDIMedicareA@wpsic.com and EDI questions related to Part B can be sent to EDIMedicareB@wpsic.com
• Watch for updates to the WPS Medicare EDI website as new information becomes available.

EDI Information Specific to Indiana Part A, Indiana Part B, and Michigan Part A Providers

• Because you currently submit claims through one of the available NSVs, WPS is working with each NSV to :
  • Ensure there is no disruption in service to providers
  • Develop communications so that providers will know what to expect at cutover
• As your current connectivity through an NSV will remain in place, connectivity via bulletin board system is not required.
• You can use your current submitter IDs for J8

EDI Information Specific to Michigan Part B Providers

• Electronic billers will not need to change their current connectivity to WPS
• Current Michigan B submitters will continue to use their existing WPS submitter ID