Medicare EDI Gateway (MEG)—Discontinued effective immediately
The Medicare EDI Gateway has now been shut down. All trading partners should now be transitioned to WPS Community Manager and transmit/receive files using WPS Gateway Express.
If you haven't yet made the transition to WPS Community Manager and WPS Gateway Express, now is the time to get set up.
Weekend Maintenance: UPDATE
WPS is addressing issues encountered with the change deployed this past weekend (Sept. 14–15). File processing may be delayed while we work to resolve the issues.
We are experiencing very high call volumes related to a notification that was previously sent to Medicare trading partners. If you are calling regarding the notification for the Medicare EDI Gateway transition to Business Connect, we would like to clarify this transition only impacts the following Jurisdictions: MAC J5, MAC J8, and MAC J5 National Medicare EDI Gateway Users. This does not affect DDE nor any other non-WPS MAC jurisdictions. If you received notification you may be involved in this transition but are not part of these previously mentioned jurisdictions, you are not impacted and no further action is required. Thank you.
WPS is currently receiving a large volume of ERA and EFT enrollments, as well as a high call volume related to ERAs and EFTs. Enrollment processing may take 30 or more days after WPS receives the enrollment from CAQH. WPS is working very diligently to process the enrollments in the order they are received. Repeated contact attempts will result in longer processing times.
The process to register for TRICARE Overseas 835 transactions is under construction. To receive 835 transactions for Medicare, please contact the EDI Help Desk to begin your enrollment.
Medicare J5: 866-518-3285 (say "EDI" or press 1)
Medicare J8: 866-234-7331 (say "EDI" or press 1)
Updates coming soon!
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, Arise 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.