CAQH EnrollHub Sunsetting
Change HealthCare Provider Enrollment Services is now live. Please direct all new enrollments and updates to the new Enrollment Portal found at payerenrollservices.com.
Reference previous communications from 9/17/2021 and 10/4/2021 and this Frequently Asked Questions document for more information.
All enrollments already submitted through CAQH will continue to be processed. You do not need to create a new account with Change HealthCare unless you need to add or change an existing enrollment.
UPDATE to TRICARE ACH Payment File Formatting
DHA has approved WPS’ request to back-out the government mandated change to the ACH file formatting. Effective July 14, 2022, ACH files will revert to their prior format. Again, we apologize for any inconvenience this may have caused.
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, and WPS Health Plan 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.
For the WPS Health Insurance, WPS Health Plan, Family Care/Children’s Program and UCARE lines of business, the 277CA Claims Acknowledgments are processed by a third party, Smart Data Solutions (SDS). Acknowledgment files (TA1, 999, 277CA) will be available in the same location within WPS Gateway Express. Due to the validation and edit process, multiple 277CAs may be generated for claims within a single file/transaction. For electronic claim file rejections and acknowledgment questions, please contact SDS at firstname.lastname@example.org or 855-297-4436.