Provider Resources



Family Care Groups


WPS, the Third-Party Administrator (TPA) for three Family Care Managed Care Organizations (MCO): My Choice Family Care (MCFC), Inclusa, and Lakeland Care Inc. (LCI), WPS provides claims processing administration, contact center, reporting, provider outreach, and other services.

My Choice Family Care 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 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.

Family Care-Managed Care Organizations (MCO)

Step 1: Choose your claim filing option

Option 1: MIDAS

My Choice Family Care (MCFC) requires, in most cases, contracted providers to use the provider portal. The provider portal, MIDAS (Member Information Documentation Authorization System), allows you to view your service authorizations, submit claims, and view claim status for MCFC members you serve.

877-489-3814
Email MCFC
MCFC MIDAS Portal

Option 2: 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 3: 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 Family Care WPS

Step 2: Register on WPS Community Manager (Options 2 and 3 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.

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.

Contact EDI staff

800-782-2680
Email EDI

MCFC Resources

MCFC 800-782-2680
MCFC Website
MCFC MIDAS Portal
Family Care Contact Center 800-223-6016
Email Family Care WPS

Lakeland Care, Inc. logo

Electronic Claims Filing:

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. 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.

Contact EDI staff

800-782-2680
Email EDI

Lakeland Care, Inc. Resources

Lakeland Care, Inc. 920-906-5100
Lakeland Care, Inc. Website
LCI MIDAS Portal
Family Care Contact Center 800-223-6016
Email Family Care WPS

Inclusa logo

Electronic Claims Filing:

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.

Contact EDI staff

800-782-2680
Email EDI

Inclusa Resources

Inclusa 888-544-9353
Inclusa Website
Family Care Contact Center 800-223-6016
Email WPS

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

Family Care Claim Processing

Family Care Program Informational Documents:

Contact WPS

EDI 800-782-2680, option 1
Email EDI
Family Care Contact Center 800-223-6016
Email Family Care


   

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