Contact Us
Contact Us
contact-us-part contact-us-contact-info
Appeals
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Iowa
WPS GHA
Appeals Department
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
Appeals Department
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
Appeals Department
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
Appeals Department
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
Appeals Department
P.O. Box 7861
Madison, WI 53707-7861
When using a delivery service:
WPS GHA
Appeals Department
1717 West Broadway
Madison, WI 53713
2nd Level Appeals (Reconsideration Requests)
J5 MAC and J5 National – West Jurisdiction
(Washington, Idaho, Montana, North Dakota, South Dakota, Iowa, Missouri, Kansas, Nebraska, Wyoming, Utah, Arizona, Nevada, California, Alaska, Hawaii, Oregon, Kentucky, Ohio, Indiana, Illinois, Minnesota, Michigan, Wisconsin, Guam, Northern Mariana Islands, and American Samoa)
Maximus Federal Services
Medicare Part A West
3750 Monroe Ave, Ste 706
Pittsford, NY 14534-1302
J5 National – East Jurisdiction
(Colorado, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Florida, Tennessee, South Carolina, North Carolina, Virginia, West Virginia, Puerto Rico, Virgin Islands, Main, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, New York, Delaware, Maryland, Pennsylvania, and Washington DC)
C2C Innovative Solutions
PO Box 45305
Jacksonville, FL 32232-5305
Audit
Audit Contact Information
Inquiries regarding cost report status, such as tentative settlements and desk reviews.
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 8696
Madison, WI 53708-8696
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Claims Processing - Claims Submission
Mail your paper claims:
Iowa
WPS GHA
Claims Department
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
Claims Department
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
Claims Department
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
Claims Department
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
Claims Department
P.O. Box 7861
Madison, WI 53707-7861
Electronic Data Interchange (EDI)
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Mail EDI forms:
WPS GHA
Electronic Data Interchange
1717 W Broadway
Madison, WI 53713-1834
Medical Review (MR)
Mail requested medical records:
J5 MAC
WPS GHA
Medical Review
P.O. Box 7953
Madison, WI 53707-7953
J5 National
WPS GHA
Medical Review
PO Box 7957
Madison, WI 53707-7957
When using a delivery service:
WPS GHA
Medical Review
1717 W. Broadway
Madison, WI 53713-1834
Medical Review Fax: (608)223-7553
Mail checks for workshop programs:
WPS GHA – J5
Attn: WPS GHA Finance-Admin
P.O. Box 8696
Madison, WI 53708-8696
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 518-3285
7:00 AM to 5:00 PM CT
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W Broadway
Madison, WI 53713-1834
Claims Correction
(866) 518-3253
7:00 am to 4:30 pm CT
M-Th Closed Friday
Support to claims correction functions for Non-DDE providers.
Customer Service
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Mail general correspondence related to Medicare:
Iowa
WPS GHA
General Correspondence
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
General Correspondence
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
General Correspondence
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
General Correspondence
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
General Correspondence
P.O. Box 7861
Madison, WI 53707-7861
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please Include your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Iowa
WPS GHA
General Correspondence
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
General Correspondence
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
General Correspondence
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
General Correspondence
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
General Correspondence
P.O. Box 7861
Madison, WI 53707-7861
Customer Service Interactive Voice Response (IVR)
(866) 518-3285
24 hours a day, 7 days a week
Inquiries for general information, routine eligibility, claim status, check status, and remittance information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
Customer Service - Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY)
(866) 518-3293
7:00 am to 5:00 pm CT M-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Direct Data Entry (DDE) - Navigation & Password Reset
(866) 518-3251
7:00 am to 4:30 pm CT M-F
Password resets and navigating the DDE online system.
Direct Data Entry - System Access
(866) 518-3295
7:00 am to 4:30 pm CT M-F
Inquiries and support regarding DDE connectivity.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O. Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA)
Freedom of Information (FOI)
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests to Freedom of Information
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 14091
Madison, WI 53708-0091
Medicare Secondary Payer (MSP) Overpayments
Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related.
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to: (608) 223-7550
If sending a refund- please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Provider Reimbursement
Inquiries regarding provider reimbursements, such as overpayment and underpayment activity.
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Email: Reimbursement.Overpayment.Inquiry@wpsic.com
Mail checks for which you have received a demand letter:
WPS GHA
Financial Department
P.O. Box 8788
Madison, WI 53708-8788
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713-1834
Mail checks for voluntary refunds:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
Mail inquiries relating to overpayment and underpayment determinations:
WPS GHA
Provider Reimbursement
P.O. Box 8696
Madison, WI 53708-8696
When using a delivery service:
WPS GHA
1717 West Broadway
Madison, WI 53713-1834
Credit Balance Reports
Inquiries and support for Credit Balance Reports Form CMS-838
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Submit Credit Balance Reports Form CMS-838 online using our portal. Select the “Login/Register” button above.
Or submit to:
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
(Do not submit PHI/PII through email)
Mail:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713
Claim Corrections/Reopenings
Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions
(866) 518-3285
7:00 am to 5:00 pm CT, M-F
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Mail requests for a written reopening of a claim:
Iowa
WPS GHA
Reopenings Department
P.O. Box 8550
Madison, WI 53708
Kansas
WPS GHA
Reopenings Department
P.O. Box 7238
Madison, WI 53707
Missouri
WPS GHA
Reopenings Department
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
Reopenings Department
P.O. Box 8667
Madison, WI 53708
Mail your paper claims:
Iowa
WPS GHA
Claims Department
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
Claims Department
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
Claims Department
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
Claims Department
P.O. Box 8667
Madison, WI 53708-8667
Mail checks for workshop programs:
WPS GHA – J5
Attn: WPS GHA Finance-Admin
P.O. Box 8696
Madison, WI 53708-8696
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 518-3285
7:00 am to 5:00 pm CT, M-F
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Appeals
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Mail written requests for a redetermination of claim, not related to an overpayment:
Iowa
WPS GHA
Appeals Department
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
Appeals Department
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
Appeals Department
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
Appeals Department
P.O. Box 8667
Madison, WI 53708-8667
Mail request for a written redetermination of an overpayment decision:
WPS GHA
Appeals Department
P.O. Box 14144
Madison, WI 53708-0144
2nd Level Appeals (Reconsideration Requests)
C2C Innovative Solutions, Inc. - QIC Part B North
P.O. Box 45208
Jacksonville, Florida 32232-5208
Clinical Laboratory Improvement Act (CLIA)
Mail your requests for CLIA certificate information and related inquiries:
Iowa
Iowa CLIA Laboratory Program
State Hygienic Laboratory
University of Iowa Research Park
2490 Crosspark Road
Coralville, IA 52241
Kansas
Kansas Department of Health & Environment
CLIA Laboratory Certification
6810 SE Dwight Street
Topeka, KS 66620
Missouri
Missouri CLIA Laboratory Program
P.O. Box 570
Jefferson City, MO 65102-0570
Nebraska
Nebraska State Health & Human Services
Licensure Unit-Division of Public Health
Office of Acute Care Facilities
P.O. Box 94986
Lincoln, NE 68509-4986
Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Mail your DME claims/correspondence
Noridian Administrative Services
P.O. Box 6727
Fargo, ND 58108-6727
Electronic Data Interchange (EDI)
Support for EDI systems, software, claims, and financial.
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Quality Improvement Organization (QIO)
Mail your quality of care concerns, file an appeal or complaint, questions regarding hospital patient rights:
Beneficiary and Family Centered QIO (BFCC-QIO)
KEPRO QIO - Area 4
5201 W. Kennedy Blvd,Suite 900
Tampa, FL 33609
Mail inquiries relative to quality initiatives to improve patient safety, reduce harm, or improve clinical care:
Quality Innovation Network QIO (QIN-QIO)
Iowa
Telligen
1776 West Lakes Parkway
West Des Moines, Iowa 50266
Kansas
Great Plains Quality Innovation Network
1230 O Street, Suite 120
Lincoln, NE 68508
Missouri
TMF
5918 West Courtyard Drive
Austin, TX 78730-5036
Nebraska
Great Plains Quality
Innovation Network
1230 O Street, Suite 120
Lincoln, NE 68508
Railroad Medicare
Mail your claims/correspondence related to Railroad Medicare Part B:
Palmetto GBA
Railroad Medicare - Part B
P.O. Box 10066
Augusta, GA 30999
Customer Service
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Mail general correspondence related to Medicare:
Iowa
WPS GHA
General Correspondence
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
General Correspondence
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
General Correspondence
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
General Correspondence
P.O. Box 8667
Madison, WI 53708-8667
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Iowa
WPS GHA
General Correspondence
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
General Correspondence
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
General Correspondence
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
General Correspondence
P.O. Box 8667
Madison, WI 53708-8667
Customer Service Interactive Voice Response (IVR)
(866) 518-3285
24 hours a day, 7 days a week
Inquiries for general information, routine eligibility, claim status, check status and deductible information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY)
(866) 518-3293
7:00 am to 5:00 pm CT M-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA)
Freedom of Information (FOI)
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests to Freedom of Information:
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 8788
Madison, WI 53708-8788
Medicare Secondary Payer (MSP) Overpayments
Assistance with questions and concerns regarding overpayment activities associated with MSP related debt.
(866) 518-3285
7:00 am to 5:00 pm CT M-Fri
Fax: (608) 223-7550
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to:
(608) 223-7550
If sending a refund – please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Overpayment Fax Line
(608) 223-7550
24 hours a day,
7 days a week This fax line is available for accepting completed General Inquiries, Immediate Recoupment Forms, and Overpayment Notification Forms related to MSP and Non-MSP.
Payment Recovery
Inquiries regarding voluntary and involuntary refunds.
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 223-7550
Email: Payment.Recovery.Inquiry@wpsic.com
Mail Payment Recovery checks for refunds to Medicare:
Iowa
WPS GHA
P.O. Box 8012
Madison, WI 53708-8012
Kansas
WPS GHA
P.O. Box 8021
Madison, WI 53708-8021
Missouri
WPS GHA
P.O. Box 8215
Madison, WI 53708-8215
Nebraska
WPS GHA
P.O. Box 8762
Madison, WI 53708-8762
Mail Payment Recovery inquiries to Medicare:
Iowa
WPS GHA
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
P.O. Box 14260
Madison, WI 53707-0260
Nebraska
WPS GHA
P.O. Box 8667
Madison, WI 53708-8667
Appeals
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail requests for a written redetermination of claim:
Indiana
WPS GHA
Appeals Department
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
Appeals Department
P.O. Box 8604
Madison, WI 53708-8604
2nd Level Appeals (Reconsideration Requests)
Maximus Federal Services
Medicare Part A West
3750 Monroe Ave, Ste 706
Pittsford, NY 14534-1302
Mail your paper claims:
Indiana
WPS GHA
Claims Department
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
Claims Department
P.O. Box 8604
Madison, WI 53708-8604
Electronic Data Interchange (EDI)
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail EDI forms:
WPS GHA
Electronic Data Interchange
1717 W Broadway
Madison, WI 53713-1834
Mail requested medical records for medical review:
WPS GHA
Medical Review
P.O. Box 7954
Madison, WI 53707-7954
When using a delivery service:
WPS GHA
Medical Review
1717 W. Broadway
Madison, WI 53713-1834
Fax: (608)224-3508
Mail checks for workshop programs:
WPS GHA – J8
Attn: WPS GHA Finance-Admin
P.O. Box 14172
Madison, WI 53708-0172
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 234-7331
8:00 AM - 5:00 PM ET
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W Broadway
Madison, WI 53713-1834
Audit
Audit Contact Information
Inquiries regarding cost report status, such as tentative settlements and desk reviews.
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Claims Correction
(866) 580-5980
8:00 am to 5:30 pm ET
M-Th, Closed Friday
Support to claims correction functions for Non-DDE providers.
Customer Service
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Indiana
WPS GHA
General Correspondence
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
General Correspondence
P.O. Box 8604
Madison, WI 53708-8604
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please Include your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Indiana
WPS GHA
General Correspondence
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
General Correspondence
P.O. Box 8604
Madison, WI 53708-8604
Customer Service Interactive Voice Response (IVR)
(866) 234-7331
24 hours a day, 7 days a week
Inquiries for general information, routine eligibility, claim status, check status, and remittance information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
Customer Service Telecommunication Device for the Deaf (TDD)/Teletypewriter (TTY)
(855) 474-0049
8:00 am to 5:00 pm ET M-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Direct Data Entry (DDE) - Navigation & Password Reset
(866) 580-5986
8:00 am to 5:30 pm ET M-F
Assistance navigating the DDE online system and tips for password resets.
Direct Data Entry - System Access
(866) 518-3295
8:00 am to 5:30 ET M-F
Inquiries and support regarding DDE connectivity.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588 Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O. Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA)
Freedom of Information (FOI)
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests for Freedom of Information:
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 14091
Madison, WI 53708-0091
Medicare Secondary Payer (MSP) Overpayments
Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related.
(866) 234-7331
8:00 am to 5:00 pm ET M-Fri
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to: (608) 223-7550
If sending a refund – please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Provider Reimbursement
Inquiries regarding provider reimbursements, such as overpayment and underpayment activity.
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Email: Reimbursement.Overpayment.Inquiry@wpsic.com
Mail checks for which you have received a demand letter:
WPS GHA
Financial Department
P.O. Box 8788
Madison, WI 53708-8788
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713-1834
Mail checks for voluntary refunds:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
Mail inquiries relating to overpayment and underpayment determinations:
WPS GHA
Provider Reimbursement
P. O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
WPS GHA
1717 W. Broadway
Madison, WI 53713-1834
Credit Balance Reports
Inquiries and support for Credit Balance Reports Form CMS-838
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Submit Credit Balance Reports Form CMS-838 online using our portal. Select the “Login/Register” button above.
Or submit to:
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
(Do not submit PHI/PII through email)
Mail:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713
Claim Corrections/Reopenings
Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions
(866) 234-7331
8:00 am to 5:00 pm ET, M-F
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Mail written request for a reopening of a claim:
Indiana
WPS GHA
Reopening Department
PO Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
Reopening Department
PO Box 8939
Madison, WI 53708-8939
Paper Claim Submission
Mail your paper claims:
Indiana
WPS GHA
Claims Department
P.O. Box 8940
Madison, WI 53708-8940
Michigan
WPS GHA
Claims Department
P.O. Box 8987
Madison, WI 53708-8987
Workshop Checks
Mail checks for workshop programs:
WPS GHA – J8
Attn: WPS GHA Finance-Admin
P.O. Box 14172
Madison, WI 53708-0172
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 234-7331
8:00 am to 5:00 pm ET, M-F
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Appeals
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail written requests for a redetermination of claim:
Indiana
WPS GHA
Appeals Department
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
Appeals Department
P.O. Box 8939
Madison, WI 53708-8939
2nd Level Appeals (Reconsideration Requests)
C2C Innovative Solutions, Inc. - QIC Part B North
P.O. Box 45208
Jacksonville, Florida 32232-5208
Clinical Laboratory Improvement Act (CLIA)
Mail your requests for CLIA certificate information and related inquiries:
Indiana
Indiana Department of Public Health
Division of Acute Care Services
2 North Meridian Street, Room 4A
Indianapolis, IN 46204
Michigan
Michigan Department of Licensing and Regulatory Affairs (LARA)
BHCS - Laboratory Improvement Section
P.O. Box 30664
Lansing, MI 48909
Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Mail your DME claims/correspondence:
CGS
Jurisdiction B DME MAC
P.O. Box 20007
Nashville, TN 37202
Electronic Data Interchange (EDI)
Support for EDI systems, software, claims, and financial.
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Quality Improvement Organization (QIO)
Mail your quality of care concerns, file an appeal or complaint, questions regarding hospital patient rights:
Beneficiary and Family Centered QIO (BFCC-QIO)
KEPRO QIO - Area 4
5201 W. Kennedy Blvd,Suite 900
Tampa, FL 33609
Mail inquiries relative to quality initiatives to improve patient safety, reduce harm, or improve clinical care:
Quality Innovation Network QIO (QIN-QIO)
Indiana
Atom Alliance
3340 Players Club Parkway,Suite 300
Memphis, TN 38125
Michigan
Lake Superior Quality
Innovation Network
2901 Metro Drive, Suite 400
Bloomington, MN 55425-1525
Railroad Medicare
Mail your claims/correspondence related to Railroad Medicare Part B:
Palmetto GBA
Railroad Medicare - Part B
P.O. Box 10066
Augusta, GA 30999
Customer Service
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail general correspondence related to Medicare:
Indiana
WPS GHA
General Correspondence
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
General Correspondence
P.O. Box 8939
Madison, WI 53708-8939
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Indiana
WPS GHA
General Correspondence
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
General Correspondence
P.O. Box 8939
Madison, WI 53708-8939
Customer Service Interactive Voice Response (IVR)
(866) 234-7331
24 hours a day, 7 days a week
Inquiries for general information, routine eligibility, claim status, check status and deductible information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY)
(855) 474-0049
8:00 am to 5:00 ET M-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA).
Freedom of Information (FOI)
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests to Freedom of Information:
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 8788
Madison, WI 53708-8788
Medicare Secondary Payer (MSP) Overpayments
Assistance with questions and concerns regarding overpayment activities associated with MSP related debt.
(866) 234-7331
8:00 am to 5:00 pm ET M-Fri
Fax: (608) 223-7550
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to:
(608) 223-7550
If sending a refund – please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Overpayment Fax Line
(608) 224-3515
24 hours a day,
7 days a week This fax line is available for accepting completed General Inquiries, Immediate Recoupment Forms, and Overpayment Notification Forms related to MSP and Non-MSP.
Payment Recovery
Inquiries regarding voluntary and involuntary refunds.
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 224-3515
Email: Payment.Recovery.Inquiry@wpsic.com
Mail checks for refunds:
Indiana
WPS GHA
Payment Recovery Department
P.O. Box 8002
Madison, WI 53708-8002
Michigan
WPS GHA
Payment Recovery Department
P.O. Box 8064
Madison, WI 53708-8064
Mail inquiries relative to financial issues:
Indiana
WPS GHA
Payment Recovery Department
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
Payment Recovery Department
P.O. Box 8939
Madison, WI 53708-8939
We want to hear from you!
Customer Service Training Closures
September 15, 2023
October 20, 2023
November 17, 2023
December 15, 2023
Holiday Closures
WPS Government Health Administrators will close for the following holidays:
Holiday | Date |
---|---|
Veterans Day | November 10, 2023 |
Thanksgiving Holiday | November 23-24, 2023 |
Christmas | December 25, 2023 |
New Year’s Day | January 1, 2024 |
Do you have a question?
Do you have questions or feedback about WPS Government Health Administrators services? Check the following options:
Chat with Us
Chat with Us! We're here to help!
Monday-Friday:
10:00 AM - 2:00 PM CT
11:00 AM - 3:00 PM ET
Secure Message
To ask a question about your account, please login to use our Message Center service to ensure privacy.
Email WPS Government Health Administrators
To submit an inquiry through Contact Us for general Medicare questions, please use the form below. Do not submit claim specific or patient specific (e.g. PHI) through Contact Us. Please contact our Provider Contact Center for questions of this nature. Please note, while we strive to answer your question as soon as possible, you will not receive an immediate response to your Contact Us inquiry. The CMS allows contractors up to 45 business days to respond to all written inquiries.
Thank You for Your Inquiry!
Mail Delivery Successful
Medicare Contact Us Support Request
WPS Government Health Administrators continually strives to address inquiries submitted electronically through our "Contact Us" website as quickly as possible. Per the Internet-Only Manual (IOM), the Centers for Medicare & Medicaid Services (CMS) allows contractors up to 45 business days to respond to inquiries received via postal or electronic mail. Although our staff responds to the majority of inquiries sooner than CMS requires, questions that are more complex in nature or those that address multiple issues may take up to 45 days to receive responses. Thank you for your patience in allowing the full 45 business days before resubmitting a question.
By submitting your email address, you are allowing WPS Government Health Administrators to send this email address information on Medicare rules, regulations, and current seminars. WPS Government Health Administrators are the only entity that will use this address. If you do not want to receive this information, please follow the disenrollment directions within your first email or let us know within your submission.
Providers can find contact information including addresses, phone numbers, and fax numbers on our website by clicking on the Contact Us heading and selecting the appropriate department from the drop-down list. If you are not able to find the information you are looking for, please continue to submit your Contact Us inquiry.
Providers can find contact information including addresses, phone numbers, and fax numbers on our website by clicking on the Contact Us heading and selecting the appropriate department from the drop-down list. If you are not able to find the information you are looking for, please continue to submit your Contact Us inquiry.
Providers can find out forms (e.g. redetermination form, overpayment form, enrollment forms) by clicking here. If you are not able to find the form you are looking for, please continue to submit your Contact Us inquiry.
Providers can find out forms (e.g. redetermination form, overpayment form, enrollment forms) by clicking here. If you are not able to find the form you are looking for, please continue to submit your Contact Us inquiry.
We are happy to assist you with your general questions regarding Medicare benefits. However, if you have a specific question regarding the coverage of services because of a specific claim denial, the WPS GHA portal provides additional information regarding the claim denial. Please review the information found on the portal by using the Claims feature. If you have additional questions regarding the denial, please contact our Provider Contact Center at (866) 518-3285 for further assistance. If your inquiry is not claim specific, please continue to submit your question through Contact Us.
We are happy to assist you with your general questions regarding Medicare benefits. However, if you have a specific question regarding the coverage of services because of a specific claim denial, the WPS GHA portal provides additional information regarding the claim denial. Please review the information found on the portal by using the Claims feature. If you have additional questions regarding the denial, please contact our Provider Contact Center at (866) 234-7331 for further assistance. If your inquiry is not claim specific, please continue to submit your question through Contact Us.
WPS Government Health Administrators provides a Portal User Manual that provides step-by-step instructions on how to use the portal. The manual is located in the Self-Service topic center. If you have a question regarding the portal, please continue to submit your Contact Us inquiry. A response will be provided within 45 business days. If you require immediate attention, please contact our Provider Contact Center at (866) 518-3285, or use our Live Chat feature on our website.
WPS Government Health Administrators provides a Portal User Manual that provides step-by-step instructions on how to use the portal. The manual is located in the Self-Service topic center. If you have a question regarding the portal, please continue to submit your Contact Us inquiry. A response will be provided within 45 business days. If you require immediate attention, please contact our Provider Contact Center at (866) 234-7331, or use our Live Chat feature on our website.
While we try to respond to inquiries as soon as possible, CMS allows contractors up to 45 business days to respond to written inquiries. Therefore, if your question is urgent, please contact our Provider Contact Center at (866) 518-3285 for immediate assistance. Providers can all use our Live Chat feature on our website to chat with a representative. Please be aware our Live Chat feature cannot discuss claim specific issues. If your question is regarding a specific claim, you will need to use our WPS GHA Portal or call our Provider Contact Center. Otherwise, if it is not claim specific and you would like to continue and submit your Contact Us inquiry, please continue.
While we try to respond to inquiries as soon as possible, CMS allows contractors up to 45 business days to respond to written inquiries. Therefore, if your question is urgent, please contact our Provider Contact Center at (866) 234-7331 for immediate assistance. Providers can all use our Live Chat feature on our website to chat with a representative. Please be aware our Live Chat feature cannot discuss claim specific issues. If your question is regarding a specific claim, you will need to use our WPS GHA Portal or call our Provider Contact Center. Otherwise, if it is not claim specific and you would like to continue and submit your Contact Us inquiry, please continue.
.
View AMA License
LICENSE FOR USE OF PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (CPT)
End User Point and Click Agreement:
CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by CMS. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60654. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt.
Applicable FARS\DFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
AMA Disclaimer of Warranties and Liabilities.
CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this agreement.
CMS Disclaimer
The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.
Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept".
LICENSE FOR USE OF CURRENT DENTAL TERMINOLOGY (CDT™)
These materials contain Current Dental Terminology (CDTTM), Copyright © 2010 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.
THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING ABOVE ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.
IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.
IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.
- Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
- Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association web site, http://www.ADA.org/.
- Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use. Please click here to see all U.S. Government Rights Provisions.
- ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THE IMPLIED WARRANTIES O F MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. NO FEE SCHEDULES, BASIC UNIT, RELATIVE VALUES OR RELATED LISTINGS ARE INCLUDED IN CDT. THE ADA DOES NOT DIRECTLY OR INDIRECTLY PRACTICE MEDICINE OR DISPENSE DENTAL SERVICES. THE SOLE RESPONSIBILITY FOR THE SOFTWARE, INCLUDING ANY CDT AND OTHER CONTENT CONTAINED THEREIN, IS WITH (INSERT NAME OF APPLICABLE ENTITY) OR THE CMS; AND NO ENDORSEMENT BY THE ADA IS INTENDED OR IMPLIED. THE ADA EXPRESSLY DISCLAIMS RESPONSIBILITY FOR ANY CONSEQUENCES OR LIABILITY ATTRIBUTABLE TO OR RELATED TO ANY USE, NON-USE, OR INTERPRETATION OF INFORMATION CONTAINED OR NOT CONTAINED IN THIS FILE/PRODUCT. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third party beneficiary to this Agreement.
- CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. IN NO EVENT SHALL CMS BE LIABLE FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF SUCH INFORMATION OR MATERIAL.