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 ClaimsAttention: J5A/J5N Trading Partners
WPS EDI identified an issue that affected J5A and J5N Medicare Part A files. Claims rejected in error on the 277CA (A7:228) for Type of Bill. The receipt dates impacted are from March 26–30, 2021.
WPS resolved the issue and is reprocessing the files. You should not resubmit the files rejected in error throughout the impacted date range. We apologize for any inconvenience this may have caused.
Changes for Real Time Transaction 270/271 Eligibility Coming in the First Quarter of 2021
WPS will be deploying new segments on 271 responses for Real Time Eligibility. The changes are as follows:
Impacted Transactions
270/271 Real Time Transactions
Affected Lines of Business
TRICARE for Life
TRICARE Overseas
TRICARE East
We appreciate your patience while we complete this project. If you have any questions or concerns, please contact the WPS EDI Help Desk at 800-782-2680 or edi@wpsic.com.
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, Aspirus Arise, and the Department of Veterans Affairs (VAPC3) 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.
