The highly anticipated provider portal is available for Family Care and CLTS providers beginning March 25. Registration to obtain access to customer/participant information, claims, and secure messaging also begins on March 25.
What do you need to register?
In order to register, you are required to have the following:
Are you a registering for the first time?
Important message for new providers: The first person to register under a tax ID will be the Administrator. This person will be required to invite and approve additional administrators and users under your organization’s tax ID. If you are not the first person at your site to register under a tax ID, you must wait for an invitation from the Administrator before registering as a user.
What does the provider portal offer?
The provider portal provides access to:
NOTE: If you are a Family Care/CLTS provider only, do not use the authorization and referrals, extras, and Find a Doctor links on your dashboard.
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.
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.
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
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.
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.
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.
The objective of these webcasts is to provide an overview of the following key informational subjects:
800-782-2680, follow prompts