WPS Health Insurance

PC-Ace Pro32 Claim Filing Options

PCACE Pro32 Technical Bulletin

No technical Bulletins at this time

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 the
    United States Postal Service website
  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 Health Insurance, Medicare Part B, MAC J5 A & B, MAC J8 A & B, J5 National Part A, TRICARE For Life Direct and TRICARE Foreign claims electronically.

If you are interested in obtaining the PC-Ace Pro32 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 Pro32 V2.58 . Existing PC-Ace users please download V2.58 upgrade instead of Full Install. If you need further assistance please contact WPS Electronic Data Services Department.

Medicare MAC J5 Part A and B (IA, KS, MO, NE) and J5 National Part A

Toll-free 1-866-518-3285

Medicare MAC J8 Part A and B (MI, IN)

Toll-free 1-866-234-7331

TRICARE For Life Direct/Foreign & WPS Health Insurance

Toll-free 1-800-782-2680 (Option #2)

Electronic Data Services (EDI) Paperwork

You can also download the EDI Agreement paperwork by selecting one of the following links

PC-Ace Pro 32 Information and Request Forms:

PC-Ace Communication Documentation

Claims Submission Methods

  • WPS Bulletin Board System (BBS) asynchronous telecommunications.; This method requires using a modem to dial up and connect to the WPS BBS
  • WPS Secure-EDI (ARISE, TRICARE, Veterans Administration Patient-Centered Community Care (VAPC3) and WPSHI).  This method will allow secure FTP file transfer using your internet web browser.
  • Medicare-EDI-Gateway (Medicare). This method will allow secure FTP file transfer for Medicare submitters using a web browser-based interface
PC-Ace Pro32 Installations

PC-Ace Pro32 Full Installation

(If you do not have any version of PC-Ace on your PC)

PC-Ace Pro32 Upgrade to V2.58

(If you currently have a version of PC-Ace on your PC)

PC-Ace Pro32 Version 2.58 Change Summary

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PC-Ace Pro32 User Guides
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