EDI Tools & Resources
Health Care Claim Status Request and Response
Wisconsin Physicians Service (WPS) has added a 276/277 (Health Care Claim Status Request and Response) request form (PDF) to the EDI Forms Web Site.
- The 276 Transaction is an electronic request for the current status of a claim within the adjudication process. This can be requested at the claim and/or line level.
- The 277 Transaction is an electronic response to the 276 request.
This Transaction is a Batch process and requires the requester to have access to the Bulletin Board System. Request a Submitter ID. The Implementation Guide for this Transaction Set (276/277) is located at www.wpc-edi.com.
On-line Claim Submission Through TRIWEST.com
(for West Region providers only)
WPS is pleased to introduce Internet claim entry through TRIWEST.com - a comprehensive, secured web site and your primary TRICARE information source for patient and claim data. Click here for more information (PDF).
PC-Ace32
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 and TRICARE claims electronically.
EDI Bulletin Board System
WPS is currently using the EDI Bulletin Board System (BBS) to receive your electronic claims using asynchronous telecommunications. The BBS also allows you to receive reports from WPS, view messages on various BBS forums, send email to WPS Electronic Data Services staff, and download documents pertaining to Electronic Data Interchange (EDI).
WPS Plus
WPS PLUS is the Wisconsin Physicians Service Providers’ Look Up System for patient eligibility and claim status via the Internet. WPS PLUS is a real-time product. WPS PLUS is designed to enable immediate provider access to patient eligibility (with health benefit descriptions) and claim status information for WPS Commercial through the Internet. This service is designed to benefit providers who are submitting their claims electronically to WPS. There is no cost to the provider for this service! WPS PLUS requires a browser with 128-bit encryption software. This secures the WPS PLUS site from outside access. You are given a user name and password when our office receives your signed enrollment agreement (PDF). For more information about electronic filing or acquiring WPS PLUS access, please call the Electronic Data Services office to speak to a marketing consultant at 608-221-7115.
Electronic Remit Advice
ERA - Medicare Part B IL, MI, MN, WI (PDF)
- ERA - Medicare Part B IL, MI, MN, WI: Input Sheet (PDF)
- How to Complete a Medicare Electronic Remittance Advice (ERA) Authorization Form Tutorial (Power Point or Power Point Viewer Required)
Electronic Funds Transfer
Medicare Resources
TRICARE Resources
MREP (Medicare Remit Easy Print)Software
- PCPrint version 3.6.1
- Click here to read an overview of Medicare Remit Easy Print (MREP).
- Download the new MREP (Medicare Remit Easy Print) software here
EDI Publications
The EDI Connection lists contact information of all vendors, clearinghouses/billing services who have been approved with electronic claim filing with:
Other Publications
EDI Flash!
Read the EDI Flash! Newsletter (PDF)
WPS Commercial/GAMP
Newsbytes (PDF) is a newsletter for providers published quarterly by the EDI department which covers current issues, updates, and other
changes.
