Provider Resources



PC-ACE Claim Filing Options


Claim Entry Software

PC-ACE is a "stand-alone" software package that creates a patient database and allows your office to electronically submit most WPS Health Insurance, Medicare MAC J5 and J8 Parts A & B, Medicare J5 National Part A, TRICARE For Life Direct, and TRICARE Foreign claims electronically.

PC-ACE Communication Documentation

Claims Submission Methods

  • WPS Bulletin Board System (BBS) asynchronous telecommunications. This method requires using a modem to connect to the WPS BBS.
  • WPS Secure-EDI (WPS Health Plan, TRICARE, and WPS Health Insurance): This method will allow secure FTP file transfer using your web browser.
  • Gateway Express (All lines of business). This method provides a secure connection for all Trading Partners to transmit and receive data, using a web-browser-based interface.

Claim Submission

If you are interested in obtaining PC-ACE software to submit claims directly to WPS, it is available for download on this website. If you are a new submitter, you also will need to register for a WPS Trading Partner number, complete an EDI Agreement, and download the Full Install of PC-ACE V5.2. Existing PC-ACE users, please download V5.2 upgrade instead of full install. If you need further assistance, please contact WPS Electronic Data Services Department.

PC-ACE Communication Documentation

Medicare MAC J5 Parts A and B (IA, KS, MO, NE) and J5 National Part A
Toll-free: 866-518-3285

Medicare MAC J8 Part A and B (MI, IN)
Toll-free: 866-234-7331

TRICARE For Life Direct, TRICARE Overseas Program, and WPS Health Insurance
Toll-free: 800-782-2680, (Option #2)

PC-ACE Full Installation V5.2

(If you do not have any version of PC-ACE on your PC)

PC-ACE Upgrade to V5.2

(If you currently have a version of PC-ACE on your PC)

PC-ACE Version V5.2 Change Summary

Medicare, TRICARE, WPS Health Plan, and WPS Health Insurance

Family Care and Bureau of Long-Term Support (BLTS) Programs

   

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