Portal User Manual – Revision History
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 – Revision History
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Version | Date | Description of Changes |
---|---|---|
1.0 | 12/29/2016 | Added new manual with Revision History page. |
2.0 | 03/24/2017 | Added text to password 21-day rule. Added text for Administrator disabling accounts. Changed screens with Appeal Status tab order. Removed G0389 and replace with 76706 in Preventive Services for eligibility. Added Multi-Factor Authentication section. |
3.0 | 05/24/2017 | Updated “Request Submitter ID” section to be “Register for Online Claim Entry.” There is a new process for user to enroll in online claim entry using the portal. Updated screen shots and text to explain the new process. |
4.0 | 07/18/2017 | Added information to the MFA section concerning the roll-out and updates that were not made on 05/24/2017. |
5.0 | 09/05/2017 | Added new screens for new claim inquiry features. Updated MFA showing code is now valid for 4 hours and on how to change default to Google Authenticator. Added new screens for new Provider Self Service Denial tool. |
6.0 | 10/02/2017 | Corrected some MFA screens. |
7.0 | 01/26/2018 | Replaced the entire MFA section. Code is now valid for 8 hours and screens changed. |
8.0 | 03/09/2018 | Updated Administrator Roles, QMB information, added FAQs. New screens showing the new Appeals Tabs. |
9.0 | 04/01/2018 | Added MBI information. |
10.0 | 04/23/2018 | Changed the name of the MBI section. |
11.0 | 06/15/2018 | Added Easier Remittance Advice lookup, Who is My Admin feature, new NPI Admin Lookup on login page, and MDPP information. |
12.0 | 08/31/2018 | Updated Message Center to add Audit. |
13.0 | 11/02/2018 | Modified the Clerical Error Reopening (CER) section. Renamed to match Link in Footer of Portal. |
14.0 | 11/15/2018 | Added section to remove access for Standard and Eligibility Users. |
15.0 | 11/20/2018 | Removed numbered lists and replaced with bulleted lists for easier formatting. |
16.0 | 03/30/2019 | Added Account Reactivation section and updated eligibility section with HETS Q100 changes. |
17.0 | 04/22/2019 | Updated Financial data timeframe from 90 to 30. Added a note to the account reactivation section. |
18.0 | 08/08/2019 | Added CER over 6 line claim ability. Updated Admin Responsibilities on Reactivation. Added instruction on Admin Self Reactivation process. Added Letter Search for ADR and Demand Letters. |
19.0 | 11/11/2019 | Changed MFA code to last 12 hours. Updated Eligibility information available. Added Letter Search. Updated Appeals tab names and screens. |
20.0 | 12/30/2019 | Added the new information for Supplemental Insurance under Eligibility. |
21.0 | 04/06/2020 | Added new PPV information under Preventives Service in Eligibility. Update Offset information. Removed Post Payment Review information and added new screens to the MR section. |
22.0 | 04/23/2020 | Updated the login process. Q&A Update for being locked out and having a password reset. |
23.0 | 06/15/2020 | Added new SNF/Hospital data, Patient Status Code, Preventive Code G0476, Date of Death changed to last 4 years for MBI. |
24.0 | 07/24/2020 | Added ERA Enrollment section. |
25.0 | 10/19/2020 | Updated Hospice Information. Added prior Authorization. |
26.0 | 11/06/2020 | Removed instructions to submit Audit message in the portal. |
27.0 | 01/21/2021 | Added Password Reset to the Reactivation process for Administrators. Added New Claim Search screen. |
28.0 | 02/08/2021 | Added Prior Authorization Exemption Letter screen. |
29.0 | 03/05/2021 | Demand Letter Enhancement features. Claim Entry POS clarification and added information to the Q&As. |
30.0 | 04/02/2021 | Adding Part A Appeal submission, changes to the location of the Part B Appeal Search, adding new eligibility features; COVID-19 vaccines, Acupuncture Benefits, MCO name change to MA, adding Beneficiary Entitlement Reason Codes. Added information to Ineligible Dates. |
31.0 | 05/06/2021 | Add Pre-Payment Review Tab and Post-Payment Review tab instructions for Medical Documentation section. Changes to the Message Center search. |
32.0 | 06/17/2021 | Updated Prior Authorization to add Cervical Fusion with Disc Removal and Implanted Spinal Neurostimulators. Updated fields in the Additional Information section. |
33.0 | 06/24/2021 | Added the new Overpayment Search section. |
34.0 | 07/02/2021 | File attachment size for appeals is changed to 100 MB. Removed MFA Default option section. |
35.0 | 09/13/2021 | Revised format of manual. Updated screenshots and corrected minor typographical errors. |
36.0 | 10/29/2021 | Added information about Transportation Layer Security (TLS) settings. Added additional instructions for account lockouts due to three failed login attempts. |
37.0 | 11/04/2021 | Added Editing Users section. |
38.0 | 01/11/2022 | Updated step 5 in Recertification Process. |
39.0 | 02/09/2022 | Added note about DDE users in ADR Letter Search Results sections. |
40.0 | 03/14/2022 | Updated Available Eligibility Information (Additional Coverage and Preventive Services tabs). |
41.0 | 03/18/2022 | Added Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) information to Prior Authorization section. |
42.0 | 05/05/2022 | Multiple sections updated with new Level 2 Submission via the Message Center and Appeal Search. Adding steps to upload additional documentation to a Level 1 and Level 2 Appeal. |
43.0 | 05/12/2022 | Adding Chrome setting for View vs Save of Documents |
44.0 | 06/20/2022 | Adding Notice of Admissions (NOA) Indicator to Home Health page |
45.0 | 07/18/2022 | Changed inactivity timeout from 15 to 30 minutes. |
46.0 | 10/04/2022 | Updated Appeal FAQs, updated Appeal information for W status claims denied with EDIT 119D. |
47.0 | 10/14/2022 | Added new sections to the User Admin Dashboard, CERs can now be performed on claims that contain J codes. |
48.0 | 12/12/2022 | Added PBID to the Eligibility section of the manual and notice that financial data will be returned for Codes G0117, G0118, G0403, G0404, G0405 and G0102. Updated Medical Documentation Requests section to indicate the MR file size is up to 100 MB. |
49.0 | 12/20/2022 | Added new section for Credit Balance Reporting. |
50.0 | 01/17/2023 | Changed the format of the Credit Balance Message form. |
51.0 | 02/01/2023 | Updated number of User Administrators that can self-register to five. |
52.0 | 03/11/2023 | Updated Eligibility data for Hospice |
53.0 | 05/26/2023 | Updated Clerical Error Reopening (CER) section to provide more details on what can and cannot be submitted as a CER. |
54.0 | 06/05/2023 | Added new Financial Center (Overpayment Search, Medicare Refunds, eRefund Submission, Receipt Search) section to the manual. Message Center, Letter Search Overview and Prior Authorization information moved under My Correspondence. |
55.0 | 06/15/2023 | Added Facet Joint Interventions to the Prior Authorization section of the manual. |
56.0 | 06/19/2023 | Added new fields to the MSP eligibility sections (Group Number, Last Maintenance Date, Patient Relationship Code, MSP Source Code) |
57.0 | 07/17/2023 | Updated the email address to submit older Credit Balance Reports and added Fax number. |
58.0 | 07/20/2023 | Clarified the search instructions and status code information for Medical Documentation and Prior Authorization. Updated a screen shot to add text for Overpayment Search. |
59.0 | 09/18/2023 | Added Print Finalized Claim Summary to the Claim Status section. |
60.0 | 09/23/2023 | In the Eligibility Check section, updated information available from Summary tab, added audiology screening HCPCS codes under Preventive Services, and added ORM Indicator to the list of information available from the MSP tab. |
global-tags: J8A,J5A,J8B,J5B
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