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Wisconsin Physicians Service Insurance Corporation (WPS)

This page contains information you can use to exchange healthcare transactions with Wisconsin Physicians Service Insurance Corporation (WPS) using Stedi.
Use any of the following payer IDs to send transactions to Wisconsin Physicians Service Insurance Corporation (WPS) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
10878
Stedi Payer ID
CMFSN
Payer ID aliases
10878, A2185, OOWPS, ZP1226
Parent group
Wisconsin Physicians Service Insurance Group
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Wisconsin Physicians Service Insurance Corporation (WPS) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Wisconsin Physicians Service Insurance Corporation (WPS).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Wisconsin Physicians Service Insurance Corporation (WPS) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Wisconsin Physicians Service Insurance Corporation (WPS) in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Wisconsin Physicians Service Insurance Corporation (WPS) and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Wisconsin Physicians Service Insurance Corporation (WPS) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Wisconsin Physicians Service Insurance Corporation (WPS) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Wisconsin Physicians Service Insurance Corporation (WPS) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Wisconsin Physicians Service Insurance Corporation (WPS).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Wisconsin Physicians Service Insurance Corporation (WPS) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Wisconsin Physicians Service Insurance Corporation (WPS) today.
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