Portal User Manual – Portal Overview
Need help?
Contact Us About Claims
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections:
(866) 518-3253
7:00 am to 4:30 pm CT M-Th
DDE Navigation & Password Reset: (866) 518-3251
7:00 am to 4:30 pm CT M-F
DDE System Access: (866) 518-3295
7:00 am to 4:30 pm CT M-F
EDI: (866) 518-3285
7:00 am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections:
(866) 580-5980
8:00 am to 5:30 pm ET M-Th
DDE Navigation & Password Reset: (866) 580-5986
8:00 am to 5:30 pm ET M-F
DDE System Access: (866) 518-3295
8:00 am to 5:30 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Claim Status/Patient Eligibility:
(866) 518-3285
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
EDI: (866) 518-3285
7:00am to 5:00 pm CT M-F
General Inquiries:
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Claim Status/Patient Eligibility:
(866) 234-7331
24 hours a day, 7 days a week
Claim Corrections/Reopenings:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
EDI: (866) 234-7331
8:00 am to 5:00 pm ET M-F
General Inquiries:
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Need help?
General questions about Medical Review
- (866) 518-3285
7:00 am to 5:00 pm CT M-F
- (866) 234-7331
8:00 am to 5:00 pm ET M-F
- (866) 518-3285
7:00 am to 5:00 pm CT M-F
- (866) 234-7331
8:00 am to 5:00 pm ET M-F
Need help?
Contact Us About Overpayments
Inquiries regarding refunds to Medicare - MSP Related
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Inquiries regarding overpayments NOT associated with MSP
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Reimbursement.Overpayment.
Inquiry@wpsic.com
Inquiries regarding refunds to Medicare - MSP Related
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Inquiries regarding overpayments NOT associated with MSP
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Reimbursement.Overpayment.
Inquiry@wpsic.com
Questions regarding overpayments associated with MSP related debt
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Questions regarding overpayments NOT associated with MSP related debt
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 6:00pm ET) M-Fri
Payment.Recovery.Inquiry@wpsic.com
Questions regarding overpayments associated with MSP related debt
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Secondary.Payer.Inquiry@wpsic.com
Questions regarding overpayments NOT associated with MSP related debt
(866) 234-7331
8:00 am to 5:00 pm ET (7:00 am to 4:00pm CT) M-Fri
Payment.Recovery.Inquiry@wpsic.com
Need help?
Contact us about Appeals
7:00 am to 5:00 pm CT M-F
8:00 am to 5:00 pm ET M-F
7:00 am to 5:00 pm CT M-F
8:00 am to 5:00 pm ET M-F
Need help?
Contact Us About Provider Enrollment
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Need help?
Contact us about Policies
- (866) 518-3285 - General questions about Policies
7:00 am to 5:00 pm CT M-F
- (866) 234-7331 - General questions about Policies
8:00 am to 5:00 pm ET M-F
- (866) 518-3285 - General questions about Policies
7:00 am to 5:00 pm CT M-F
- (866) 234-7331 - General questions about Policies
8:00 am to 5:00 pm ET M-F
LCD Reconsideration Request: Policycomments@wpsic.com
Draft LCD Comments: Policycomments@wpsic.com
IDE Submissions: IDE.mailbox@wpsic.com
RSVP for Open Meeting and CAC: LCDCAC@wpsic.com
Questions about Payments and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Need help?
Need help?
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
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
Need help?
Try these links first.
Questions about Self-Service?
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Try these links first.
Questions about Self-Service?
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Try these links first.
Questions about Self-Service?
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Try these links first.
Questions about Self-Service?
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Portal User Manual – Portal Overview
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Print the complete Portal User Manual
The WPS Government Health Administrators Portal (“the portal”) is a comprehensive and secure alternative to obtain Medicare patient eligibility and claim status and perform various claim-related transactions. Partnered with the Centers for Medicare & Medicaid Services (CMS), which governs the security regulations and policies of the portal, WPS Government Health Administrators is pleased to be able to provide this convenient and efficient tool to our Medicare providers.
The portal is available to Medicare Part A and Part B providers and their staffs operating within Medicare Jurisdiction 5 (J5) and Jurisdiction 8 (J8). These jurisdictions are comprised of providers in the states of Indiana, Iowa, Kansas, Michigan, Missouri, and Nebraska, as well as a small number of Part A providers in other parts of the country. Providers who do not submit Medicare claims to WPS Government Health Administrators should contact their own Medicare Administrative Contractor (MAC) for information about registering for their MAC’s portal.
The portal offers many functions including the functions listed below. The most frequently accessed functions are eligibility and claim status. The portal uses the CMS HIPAA Eligibility Transaction System (HETS) 270/271 transaction to obtain the most current patient eligibility, while the claim status function uses the Claims Processing Shared Systems. In addition, the portal offers the ability to do the following:
- Send secure messages to Customer Service staff
- Register to receive the Electronic Remittance Advice (ERA)
- Submit redetermination requests and supporting documentation
- Check status on any redetermination submitted to WPS Government Health Administrators
- Enter a Part B claim (Paper billers who are not already submitting electronic data interchange (EDI) claims only)
- Submit a Part B clerical error reopening
- Submit a Part B overpayment claim adjustment
- Submit medical documentation for pre- and post-payment reviews
- Request duplicate remittances
- Submit Prior Authorization Requests (Part A providers only, and only for the following types of service: blepharoplasty, botulinum toxin injections, cervical fusion with disc removal, implanted spinal neurostimulators, panniculectomy, rhinoplasty, and vein ablation)
- Submit electronic refunds
- Receive and respond to Additional Documentation Requests (ADRs) and Demand Letters
The portal is available 24 hours a day, 7 days a week, with limited functionality outside of normal business hours. Weekly maintenance is scheduled from Saturday at 11:00 PM CT (12:00 AM ET) through Sunday at 5:00 AM CT (6:00 AM ET). See the System Status alerts for information about maintenance scheduled outside of the usual times. These alerts are also available on the portal’s home page.
User Responsibilities
All portal users must agree to abide by the Terms of Use for Transactional Areas when registering for portal access. Due to the sensitive nature of the information available in the portal, failure to abide by the terms of use may result in the immediate termination of your account and could result in civil and criminal penalties.
Our General Terms of Use are available on our website.
Use of Automated Programs with the Portal
Users are strictly prohibited from using automated programs, macros, etc. to access the features of the WPS Government Health Administrators Portal. Users found to be accessing the portal in any manner other than the process described in the Logging In and Logging Out section of this manual will have their access revoked. In addition, the use of such tools will result in the suspension of all accounts associated with the NPI(s) of that user's organization(s).
Required Browser Settings to Access the Portal
The portal requires the user’s browser to use Transport Layer Security (TLS) settings of 1.2 or higher to secure and protect the information it contains. The browser may display the message ““This page cannot be displayed” if the TLS settings are insufficient.
A user can update the TLS settings for their preferred browser by following the instructions below. Some users may need to contact their company’s technology department to make these changes.
Updating TLS Settings in Microsoft Internet Explorer (IE)
- Go to ‘Tools’ in your top toolbar
- Select Internet Options
- Click on the Advanced tab
- Scroll to the Security section and then find ‘Use TLS 1.2’ and check the box
- Click Apply
- Click OK
Updating TLS Settings in Mozilla FireFox
Current versions of Firefox automatically use TLS 1.2. If you are using an older version of Firefox, follow these steps:
- In a new Firefox browser type about:config in the address bar
- In the address bar type in: security.tls.version.max
- Replace the ‘1’ with ‘3’ to enable TLS 1.2
Updating TLS Settings in Google Chrome
Current versions of Chrome use TLS 1.2. If you are using an older version of Chrome, follow these steps:
- Open Google Chrome
- Click Alt F and select Settings
- Scroll down and select Show advanced settings
- Scroll down to the Network section and click Change proxy settings
- Select Advanced tab
- Scroll down to Security category and check ‘Use TLS 1.2’
- Click OK
Updating Chrome Settings to View vs Save a Document
Are you are getting a message to save a letter or attachment in the portal when using Chrome? If yes, and you do not want to save it, you can update your settings by using the steps below. This only affects the Chrome browser. This will need to be done for each type of document (i.e. word, excel, pdf, etc.)
- Click on the letter or document, a dialog box asking you to save the file will appear. Save the file, and a small box will appear in the lower left-hand corner of your screen as shown below.
- Right click on the box and you will get options as shown below
- Click on the second option, “Always open files of this type,” to update your setting so that the next time you open the document type in Chrome it will automatically open instead of asking you to save it. You may have to repeat this action if you clear cache or cookies.
global-tags: J8A,J5A,J8B,J5B
.
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