WPS Health Insurance
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  • Medicare J5 National Part A
  • MAC Jurisdiction 5 - Part A & Part B
  • MAC Jurisdiction 8 - Part A & Part B

WPS Health Solutions (WPS) has been the Medicare Administrative Contractor (MAC) for Jurisdiction 5, which includes Parts A/B for the states of Iowa, Kansas, Missouri, and Nebraska, since September 2007, J5 National since October, 2012 and Jurisdiction 8, which includes Parts A/B for the states of Indiana and Michigan since July 2012.

The WPS production cutoff time is 4:00 p.m. Central Time. Claims received by 4:00 p.m. Central Time will be processed on the same business day.

Trading partners that currently combine claims for multiple states within a claim file will need to create separate ISA – IEA segments for each state where services were rendered.

EDI Set-up with WPS

Getting Started



Important Information