Provider Resources

Electronic Data Interchange (EDI)

WPS System Outage—Resolved

The WPS Community Manager WCM application is unexpectedly down. This impacts WCM enrollment and account management, WPS Gateway Express, SFTP, and SOAP transactions. The issue is resolved and the system is back up. Thank you for your patience.

WPS EDI System Alert—June 21 Update

WPS successfully completed the upgrade of the WPS Community Manager (WCM) application and related tools. WCM, WPS Gateway Express, SFTP, and SOAP exchanges are all available at this time. There is one known issue related to queries in the Display & Reporting tool, which is being researched this morning.

VA transition from WPS to PGBA

Visit Veterans Affairs (VA) Community Care Network (CCN).

New PC ACE V5.0 is now available.

Visit PC-ACE Installations

Attention: Trading Partners and Clearinghouses

Due to the volume of ERAs and EFT enrollments WPS receives, processing could take up to 30 days after WPS receives an enrollment. Our dedicated team works diligently to process enrollments in the order they are received. We appreciate your patience and will continue to provide the best service possible to meet the demanding needs of our providers.

Update: WPS Bulletin Board System and MOVEit Gateway discontinuation
now on hold until further notice

Update: WPS Bulletin Board System and MOVEit Gateway discontinuation now on hold until further notice

Effective immediately, the discontinuation of the WPS Bulletin Board System (BBS) and the MOVEit Gateway transition are on HOLD while we focus on improvements for the new system.

Attention: Veterans Affairs (VA) Community Care Network (CCN)

Please be aware of the upcoming changes for VA claims submitted on or after June 9, 2021. If you submit through a clearinghouse, contact your clearinghouse to determine what changes are needed for submission of electronic transactions. If you currently submit directly to WPS, you will have the option to send through Availity’s Basic Clearinghouse option. If you submit paper claims, starting June 9, 2021, send them to the new address:

TriWest VA CCN Claims
P.O. Box 108851
Florence, SC 29502-8851

Medicare EDI

MAC J5—Part A and B
MAC J8—Part A and B
J5 National—Part A only

TRICARE EDI

TRICARE For Life
TRICARE Overseas
TRICARE East

WPS Health Insurance and WPS Health Plan EDI

A team of consultants on your side

The WPS Corporate Services–EDI department has a dedicated team whose primary function is to consult and serve providers regarding Electronic Data Interchange (EDI) use. Our team is experienced in dealing with a variety of provider specialties, billing services, and software vendors.

We continue to offer and improve our superior EDI software products based on our Trading Partners’ needs, as well as our supplemental EDI products, such as Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), and real-time eligibility and claim status transactions

WPS Health Insurance has years of experience in EDI transaction processing. We provide EDI services to our Trading Partners for WPS Health Insurance, TRICARE East Region, TRICARE Overseas, TRICARE For Life, Medicare MAC J5 Parts A and B, MAC J8 Parts A and B, WPS Health Plan and Aspirus Arise contracts.

We look forward to working closely with all of our Trading Partners to provide excellent EDI service and support today and into the future. Providers who are interested in becoming an EDI Trading Partner with WPS should contact our EDI team.