Provider Resources



CLTS


WPS is the Third-Party Administrator for the Children's Long-Term Support (CLTS) Waiver Program. WPS provides claims processing administration, a contact center, reporting, provider outreach, and other services.

CLTS

Children with Long-Term Support Waiver (CLTS) logo

Electronic Claims Filing:

WPS Corporate Services-EDI would like to make sure you understand the available cost-effective options for electronic transactions. Taking the step to go paperless is an efficient way to reduce your costs and speed up your reimbursements. Your savings and satisfaction are important to us, so don’t hesitate to call or email if you would like to discuss your available options. Our EDI staff is here to help you learn how to utilize electronic transactions, which will save you time and money in the process. Please choose your organization below to see your customized options.

Step 1: Choose your claim filing option

Option 1: PC-ACE Pro 32

WPS offers and supports this free software you can use to submit claims electronically. This software also provides an electronic process to receive claims status, perform eligibility searches, and view/print an Electronic Remittance Advice (ERA) in place of paper Provider Remittance Advice (PRA). Please call WPS EDI for more information on the initial setup of this option.

Option 2: Contact a clearinghouse or billing service to submit claims on your behalf.

If neither of these options will fit your needs, please contact us and we can discuss other options with you.

800-782-2680, option 1
Email WPS

Step 2: Register on WPS Community Manager (Option 1 and 2 only)

This will register you in our system and assign you a WPS EDI Submitter ID to send claims directly to WPS.

Note—If you are using an approved clearinghouse, you do not need to register for WPS Community Manager.

Option 3: Spreadsheet Submission

This is a fast and easy way for providers to submit paperless claims. You must have access to and knowledge of Microsoft Excel or similar spreadsheet software.



Electronic Funds Transfer (EFT):

Improve efficiency and go green with our EFT direct deposit service. When you use EFT, you no longer have to wait for paper checks to be delivered through the mail. Instead, your payment is deposited right into your checking or savings account. This environmentally responsible electronic process eliminates the use of paper.


Electronic Remittance Advice (ERA):

The quickest and most efficient way to receive your Provider Remittance Advice (PRAs) is through ERA, which is an electronic version of a payment explanation. ERA is more convenient for you. When you sign up for EFT and ERA, you will find out about your payment via ERA about two days prior to the funds transfer. Once you enroll for ERA we will suppress your paper PRAs for even further paper savings.

Remember, we are here to assist you in any way we can to help transition you to an electronic cost-effective health insurance partner.


Children’s Long-Term Support Waiver Program Informational Documents:


Webcast Resources

The objective of these webcasts is to provide an overview of the following key informational subjects:

  • Required claims data elements when submitting claims to WPS
  • Claim submission options (electronic or paper)
  • Corrected claim procedures
  • WPS contact information

CLTS Waiver Program Claim Processing


Contact WPS EDI

800-782-2680, follow prompts
Email EDI

CLTS Resources

877-298-1258
Email WPS CLTS
CLTS Website



   

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