Medicare EDI

Specific EDI Info.

Currently, WPS Insurance Corporation is the Medicare Part B Carrier for the states of Illinois, Michigan, Minnesota and Wisconsin. Recently, WPS was selected as the Medicare Administrative Contractor (MAC) for Jurisdiction 5, which includes Parts A/B for the states of Iowa, Kansas, Missouri, and Nebraska.

WPS Medicare and the Mutual of Omaha Medicare division, both long-time leaders in the processing of Medicare
claims on behalf of the federal government, have integrated under the WPS Medicare banner to administer Part A and
Part B Medicare claims.

What does this mean for our Medicare EDI trading partners? In order to prepare for a smooth transition to the New MAC J5, we have provided a list below with the transition dates for providers in each state. Beginning on the specified date, all of your EDI transactions will need to be conducted with WPS.

Workload Outgoing Contractor Contract Code Transition Date
Nebraska Part A BCBS Nebraska 05401 12/1/07
Iowa Part B Noridian 05102 2/1/08
Kansas Part A BCBS Kansas (Wheatland) 05201 3/1/08
Missouri (Western) BC Kansas (Wheatland) 05302 3/1/08
Kansas Part B BC Kansas (Wheatland) 05202 3/1/08
Nebraska Part B BC Kansas (Wheatland) 05402 3/1/08
Missouri Part A BCBS Mississippi (TriSpan) 05301 5/1/08
Iowa Part A BCBS AL (CAHABA) 05101 5/1/08
Missouri (Eastern) Part B BCBS Arkansas 05392 6/1/08
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