Attention: Trading Partners
Possible delay in 835s and 837s 999/277CA Responses for all lines of business for the afternoon of Sept. 23 through early morning Sept. 24, 2020. WPS EDI identified a delay in 835 outbound files and X12 inbound processing for 837s 999/277CA responses for Aug. 25-27, 2020. This affected trading partners for all lines of business. We appreciate your patience and apologize for any inconvenience this may have caused.
Enrollments for 837 EDI, 835 ERA, and EFT are now available! Currently, 835 ERA enrollments for TRICARE Overseas, 270 batch/real-time, 276 batch/real-time, 820, and 834 are still under construction.
Updates coming soon!
WPS is currently receiving a large volume of ERA and EFT enrollments. The processing of enrollments may take up to 30 days after WPS receives the enrollment from CAQH. WPS is working very diligently to process the enrollments in the order they are received.
A valid WPS EDI Trading Partner ID is required to ensure timely processing of your Electronic Remittance Advice (ERA).
Save time and money by enrolling in paperless electronic transactions. Trading partners also use this link to add new lines of business and transactions when enrolling a new provider.
If you need to deactivate or reactivate an existing enrollment for an electronic transaction, please call the correct EDI area depending on your benefit/insurance.
Instructions to find the Transaction ID are available on this link.
You can locate the Transaction ID in the History view in WPS Gateway Express
Or, in the Audit Log view view in the WPS Community Manager
Please read more below for information on the available WPS portals for each benefit or insurance WPS offers.
This button will be active soon. Until then, please follow the instructions below based on your specific benefit or insurance.
TRICARE East Region Online Claim Submissions
No LIVE claims submissions to WPS from current TRICARE East Region providers are allowed until Jan. 1, 2018.
Qualified TRICARE East Region providers can enter claims into the portal for transmission to WPS and view remittance advices.
To submit TRICARE East Region claims on the Humana Military secured provider portal, you must be enrolled in HumanaMilitary.com (go to Provider > Resources > Self-Service).
If you are already enrolled, initiate submitting claims for TRICARE East Region.
Veterans Affairs (VA) Patient-Centered Community Care (PC3) Program—Availity Provider Portal Claim Submission
TriWest has partnered with Availity® to provide an easy, cost-free option to submit your claims electronically. With Availity’s Basic Clearinghouse offering, you can submit claims electronically without any cost to your practice.
View instructions to initiate submitting your Department of Veterans Affairs (VA) Patient-Centered Community Care (PC3) claims using the Availity Provider Portal.
WPS Government Health Administrators Online Portal Claim Submissions
Qualified Medicare providers can enter individual Part B claims into the portal for transmission to WPS and view remittance advices for individual Part B claims.
To submit Part B claims on the WPS Government Health Administrators portal:
TRICARE4U.com Online Claim Submissions
Qualified TRICARE For Life providers can enter claims into the portal for transmission to WPS and view remittance advices by patient number or check number.
To submit TRICARE For Life claims on the TRICARE4U.com provider portal:
If you are already enrolled, initiate submitting claims for TRICARE For Life.
TRICARE-Overseas.com Online Claim Submissions
Qualified TRICARE Overseas providers can enter claims into the portal for transmission to WPS and view remittance advices by patient number or check number.
To submit TRICARE Overseas claims on the TRICARE-Overseas.com provider portal, you must be enrolled in TRICARE-Overseas.com
If you are already enrolled, click here to initiate submitting claims in TRICARE-Overseas.com.
WPS Health Insurance, Arise Health Plan, and Aspirus Arise portal
Qualified providers can view status of claims and customer eligibility.
To register for access to view claim status and/or customer eligibility for the WPS Health Insurance, WPS Health Plan, or Aspirus Arise Provider portals, click here.