Claim Filing Options: PC-Ace Pro32

5010 PC-Ace Instructions

• Setting up PC Ace to create a version 5010 file (version 2.30 and earlier only)

IMPORTANT CHANGES regarding PC-ACE and 5010 format claims:

1. You must use 9 digit zip codes on your claims in the billing provider and facility provider (if applicable) address. If you are unsure of your 9 digit zip code, you can find it at www.usps.com
2. You cannot submit claims with a PO Box in the billing provider address.
3. If you are billing for ambulance services, you must provide a diagnosis code on the claims as well as the pick up and drop off location.
4. On each Patient Setup file in the Reference File, the "Release of Information Indicator" (ROI) must be either an "I" or a "Y".

Claim Entry Software
PC-Ace Pro32 is a "stand alone" software package that creates a patient database and allows your office to electronically submit most WPS commercial, Medicare Part B IL, MI, MN, WI, MAC J5, TRICARE West Region, TRICARE For Life Direct and TRICARE Foreign claims electronically.

If you are interested in obtaining the PC-Ace Pro 32 software it is available for download on this website. If you are a new submitter you will also need to complete an EDI Agreement and request form in addition to downloading the Full Install of PC-Ace Pro 32 V2.34. Existing PC-Ace users please download V2.34 upgrade instead of Full Install. If you need further assistance please contact WPS Electronic Data Services Department.

• More Information about PC-Ace Pro32 (PDF)

Electronic Data Services (EDI) Paperwork
You can also download the EDI Agreement paperwork by selecting one of the following links

• Provider Agreement To Submit Electronic Media Claims (WPS Commercial and EPIC)
• Provider Agreement To Transmit Electronic Media West Region & Foreign Claims (TRICARE West Region)
• Electronic Data Interchange Enrollment Form (Medicare Part B -- WI, IL, MI, MN, MAC J5)

PC-Ace Pro 32 Information and Request Forms:

• WPS, GAMP & Family Care
• EPIC
• Medicare Part B: IL, MI, MN, WI, IA, KS, MO, NE
• TRICARE West Region & Foreign
• Please complete the Submitter Profile below, or self-register at the following URL to obtain your own WPS Submitter ID: Self-register to obtain WPS Submitter ID…
  
  • Submitter Profile (PDF)

PC-Ace Communication Documentation

Communication Software is required to transmit claims and receive electronic reports:

Hyper terminal Set-Up Instructions
Hyper terminal is a Windows based product not supported by WPS, however, WPS will provide set-up instructions.

• View Hyper terminal Instructions (PDF)

Worldgroup Manager Install
(Can be used with Windows XP and Vista if additional Microsoft patches are applied)

• View Worldgroup Manager Install Instructions
• Install Worldgroup Manager software (EXE)
• View the Worldgroup Manager Users Guide