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WPS Health Insurance

WPS Health Insurance

This page contains information you can use to exchange healthcare transactions with WPS Health Insurance using Stedi.
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Use any of the following payer IDs to send transactions to WPS Health Insurance using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,,,,,
Parent group
Wisconsin Physicians Service Insurance Group
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with WPS Health Insurance 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 Insurance.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to WPS Health Insurance 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 Insurance in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims to WPS Health Insurance and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Supported, enrollment required

Institutional claims

(837I)
Submit institutional claims to WPS Health Insurance and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from WPS Health Insurance to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to WPS Health Insurance and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to WPS Health Insurance.
Get started
Start processing healthcare transactions with Stedi and WPS Health Insurance today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Wisconsin Physicians Service Group Health / WPS
  • Wisconsin Physicians Service Insurance Corporation
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