Provider Resources

Prior Authorization

As a reminder, WPS Health Insurance recently moved to one Prior Authorization (PA) list, rather than separate recommended and required lists. To view the revised list of services requiring prior authorization, please click here.

As always, keep in mind customer benefits vary and may include different PA requirements. Please contact WPS to confirm PA requirements for your patient. Also, please continue to reference the "Non-Covered Procedures and Services Medical Policy" to determine coverage before you provide services. This document can be found at Medical Policies. If you have any questions related to the revised list, please contact Customer Service at 800-765-4977.

Is your doctor in your network?