What is the Stedi payer ID for WPS Health Plan?

The Stedi payer ID for WPS Health Plan is HMTFS.

What is the primary payer ID for WPS Health Plan?

The primary payer ID for WPS Health Plan is 39185.

What payer IDs does WPS Health Plan use?

In addition to its primary payer ID 39185, WPS Health Plan uses several other payer IDs, including 10868, 39185, and WPS.

What transactions does WPS Health Plan support?

WPS Health Plan supports the following transactions: 270/271 eligibility checks, 837P professional claims, and 276/277 real-time claim status.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. WPS Health Plan supports COB checks through Stedi.

What is WPS Health Plan's parent group?

WPS Health Plan is part of Wisconsin Physicians Service Insurance Group.

What other names does WPS Health Plan go by?

WPS Health Plan is also known as Arise Health Plan and Wisconsin Physicians Service Health Plan.

All payers

PAYER

WPS Health Plan

This page contains information you can use to exchange healthcare transactions with WPS Health Plan using Stedi.

Use any of the following payer IDs to send transactions to WPS Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

39185

Stedi Payer ID

HMTFS

Payer ID aliases

10868, 39185, WPS

Parent group

Wisconsin Physicians Service Insurance Group

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with WPS Health Plan 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 WPS Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to WPS Health Plan 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 WPS Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to WPS Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to WPS Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from WPS Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to WPS Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to WPS Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to WPS Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and WPS Health Plan today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Arise Health Plan
Wisconsin Physicians Service Health Plan

Payer Network

All payers

PAYER

WPS Health Plan

This page contains information you can use to exchange healthcare transactions with WPS Health Plan using Stedi.

Use any of the following payer IDs to send transactions to WPS Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

39185

Stedi Payer ID

HMTFS

Payer ID aliases

10868, 39185, WPS

Parent group

Wisconsin Physicians Service Insurance Group

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with WPS Health Plan 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 WPS Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to WPS Health Plan 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 WPS Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to WPS Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to WPS Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from WPS Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to WPS Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to WPS Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to WPS Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and WPS Health Plan today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Arise Health Plan
Wisconsin Physicians Service Health Plan