If you are not able to find the information you are looking for, please continue to submit your Contact Us inquiry. WPS GHA You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents. Madison, WI 53708-8550, Kansas There is no enrollment cost for the provider. 1717 W. Broadway If you do not want to receive this information, please follow the disenrollment directions within your first email or let us know within your submission. Provider Enrollment Have to be enrolled in Medicare Part A & Part B by the date the WPS Medicare Companion plan starts. WPS GHA PHI) through Contact Us. Wisconsin Physicians Service ®. Check the following options: Monday-Friday: '&l='+l:'';j.async=true;j.src=
If your inquiry is not claim specific, please continue to submit your question through Contact Us. Madison, WI 53708-8215, Nebraska CMS also reserves the right to request off-cycle revalidations. Audit Madison, WI 53708-8604, Customer Service Interactive Voice Response (IVR) Claims Department P.O. WPS GHA Provider Enrollment Madison, WI 53708-8696, (866) 518-3285, option 2 All J8 A/B MAC providers will now call (866) 234-7331 when contacting Customer Service, Appeals, Electronic Data Interchange (EDI), Reopenings (Part B) and Provider Enrollment. Enroll as a Medicare provider or supplier. Madison, WI 53707-7861, When using a delivery service: Coralville, IA 52241, Kansas P.O. These instructions are for physicians, non-physician practitioners, and suppliers. P.O. WPS GHA Box 8604 We are happy to assist you with your general questions regarding Medicare benefits. Box 14172 Topeka, KS 66620, Missouri Other options of resetting your password include contacting your administrator to reset your password, contacting our Provider Contact Center at (866) 518-3285, or using our Live Chat feature on our website. Inquiries regarding voluntary and involuntary refunds. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
Medical Review These payers process your enrollment and begin sending electronic payments to your bank account. Box 8940 "Medicare & You" handbook TTY 1-877-486-2048 Mailing address. Iowa Part B Contractor Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708 www.wpsmedicare.com Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O. Madison, WI 53708-8667, (866) 518-3285, option 2 WPS has a network that includes pharmacies in all 50 states. Madison, WI 53708-8550, Kansas Box 8667 Non-Discrimination Policy. WPS GHA Lake Superior Quality Madison, WI 53708-8604, 2nd Level Appeals (Reconsideration Requests) Madison, WI 53708-0091. No fee schedules, basic unit, relative values or related listings are included in CPT. Please be prepared to provide an example of the task you were performing when the error occurred. - Medicare billing, coverage and claims processing Madison, WI 53707-7957, When using a delivery service: WPS GHA Overpayment Notification/Refund Form – If overpayment notification only, please fax to: Fargo, ND 58108-6727. Box 7238 Maximus Federal Services P.O. (866) 518-3293 CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. WPS Health Insurance Provider Contact Center: 800-765-4977, Monday–Friday, 7:30 a.m. to 5 p.m. CT WPS Health Insurance Medical Management: 800-333-5003 WPS Health Plan Financial Department P.O. Providers with issues regarding their WPS GHA portal account can contact our Provider Contact Center at (866) 518-3285, or use our Live Chat feature on our website for assistance with their user ID. P.O. 24 hours a day, 7 days a week. These payers process your enrollment and begin sending electronic payments to your bank account. PHI) through Contact Us. WPS GHA Box 7238 })(window,document,'script','dataLayer','GTM-WLTLTNW'); Select the brand indicated on your customer ID card. PO Box 8580 Box 14260 P.O. - Privacy practices. CMS also reserves the right to request off-cycle revalidations. WPS GHA Claims Department })(jQuery); WPS GHA Portal User Manual Appeals Department Users may also visit the Forgot User Login ID / Password page to recover their User Login ID. CAQH verifies the information and then sends it to WPS and the other payers you select. If you have a question regarding the portal, please continue to submit your Contact Us inquiry. The AMA does not directly or indirectly practice medicine or dispense medical services. WPS GHA provides a Portal User Manual that provides step-by-step instructions on how to use the portal. 5918 West Courtyard Drive Box 7238 Mail CMS-588 Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form: Freedom of Information (FOI) WPS GHA Madison, WI 53713-1834, Attn: WPS GHA Finance-Admin General Correspondence If you need additional assistance regarding a claim denial, please contact our Provider Contact Center at (866) 518-3285. Madison, WI 53708-8987, (866) 234-7331, option 2 WPS GHA WPS GHA Madison, WI 53708-0091. Wisconsin Physicians Service Insurance Corporation and WPS Health Plan, Inc. EEO/AA employer. Box 14260 **Do not submit claim specific or patient specific (e.g. 1776 West Lakes Parkway Box 8799 WPS GHA You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. View, print, or order Medicare publications and listen to podcasts. Madison, WI 53707-7576, Missouri Claims Department WPS offers the WPS Medicare Supplement, read our WPS company review and Compare WI Medicare Supplement Plans and. Box 8890 new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Inquiries regarding cost report status, such as tentative settlements and desk reviews. Box 8021 Support to claims correction functions for Non-DDE providers. P.O. Providers can find additional information regarding provider enrollment on our website by clicking here. Applicable FARS\DFARS Restrictions Apply to Government Use. Customer Service Interactive Voice Response (IVR) This helps us improve our social media outreach. Box 8696 P.O. Successful implementation of General Correspondence Box 8248 All rights reserved. Madison, WI 53708-8550, Mail inquiries relating to overpayment and underpayment determinations: 1230 O Street, Suite 120 j=d.createElement(s),dl=l!='dataLayer'? "Agency provider" means a legally-organized entity that employs staff. Medicare Secondary Payer (MSP) Overpayments/Credit Balances Inquiries for general information, routine eligibility, claim status, check status and deductible information. Box 8939 If you are not a current customer, select the option you are interested in. P.O. Inquiries for general information, routine eligibility, claim status, check status, and remittance information. (866) 518-3293 Questions regarding a patient's Medicare eligibility can be found on the WPS GHA portal or by using the IVR. There are also forms for filing an appeal or letting Medicare share your personal health information. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. WPS GHA Claims Department Reopenings Department CAQH verifies the information and then sends it to WPS and the other payers you select. (866) 518-3285, option 3 Audit Contact Information Box 8550 Please be aware our Live Chat feature cannot discuss claim specific issues. On Off: Web Analytics: We use a variety of tools to count, track, and analyze visits to Medicare.gov. P.O. Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available. Payment Recovery Department In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. The scope of this license is determined by the ADA, the copyright holder. 7:00 am to 5:00 pm CT M-Fri, Overpayment Notification/Refund Form – If overpayment notification only, please fax to: (608) 223-7550, If sending a refund- please mail to: Madison, WI 53713, 2nd Level Appeals (Reconsideration Requests), J5 MAC and J5 National – West Jurisdiction P.O. 8:00 am to 5:00 pm ET M-F. Mail requests for a written redetermination of claim: Indiana Claims Department AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. Box 8667 Box 8939 Otherwise if you need further assistance, please contact our Provider Enrollment department with your questions regarding your enrollment with Medicare. Freedom of Information Act (FOIA) WPS GHA Lincoln, NE 68508 Madison, WI 53708, Iowa P.O. However, if you have a specific question regarding the coverage of services because of a specific claim denial, the WPS GHA portal provides additional information regarding the claim denial. 1717 W. Broadway Madison, WI 53708-8667, - Medicare billing, coverage and claims processing If you require immediate attention, please contact our Provider Contact Center at (866) 234-7331, or use our Live Chat feature on our website. In order to ensure the quality and consistency of the service we provide, our Customer Service lines will close for training from 7:30 am to 3:30 pm CT (8:30 am to 4:30 pm ET) on the third Friday of the month. P.O. ATTN: Audit Supervisor 7:00 am to 5:00 pm CT M-F. Assistance with questions and concerns regarding overpayment activities associated with MSP related debt. Learn more about Freedom of Information Act (FOIA). General Correspondence NPI Administrator Search, Learning Center Provider Operations Manual (PDF) ... For technical support, contact Adobe. This webinar is intended for our J5/J8 Part B providers billing on a CMS-1500 or electronic equivalent. Michigan Department of Licensing and Regulatory Affairs (LARA) WPS GHA If your inquiry is not claim specific, please continue to submit your question through Contact Us. Select the option below that best describes you. WPS GHA Please review the information found on the portal by using the Claims feature. Madison, WI 53708-8580, Michigan Provider Login . IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. Providers can find contact information including addresses, phone numbers, and fax numbers on our website by clicking on the Contact Us heading and selecting the appropriate department from the drop-down list. 5201 W. Kennedy Blvd,Suite 900 Box 8248 Madison, WI 53708-8248. This Medicare helpful contacts tool will provide you with contact information for specific organizations or help you get answers to your Medicare related questions. Medicare Part A West Welcome to the WPS GHA Learning Center. Virginia Medicaid Provider Enrollment Services PO Box 26803 Richmond, VA 23261-6803 If you have any questions regarding your paper enrollment application, you can contact Provider Enrollment Services toll-free at 1-888-829-5373 or local 1-804-270-5105. Kansas Department of Health & Environment License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60654. Please be prepared to provide an example of the task you were performing when the error occurred. Mail requests for a written reopening of a claim: Iowa State Hygienic Laboratory You’re required to revalidate—or renew—your enrollment record periodically to maintain Medicare billing privileges. WPS GHA Madison, WI 53708-8550, Kansas If you are not able to find the form you are looking for, please continue to submit your Contact Us inquiry. P.O. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Use this search for individual and group HMO or POS plans. Madison, WI 53713-1834, Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions WPS GHA Medicare forms. P.O. Appeals Department 
(866) 518-3295 The request should include the following: We are unable to reset a password through the Contact Us email feature. THE ADA DOES NOT DIRECTLY OR INDIRECTLY PRACTICE MEDICINE OR DISPENSE DENTAL SERVICES. Box 8550 This includes questions regarding the submission of new applications, status, revalidation, reporting changes (e.g. Box 8604 Madison, WI 53708-8012, Kansas Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related. Appeals Department Providers can find contact information including addresses, phone numbers, and fax numbers on our website by clicking on the. Please review the information found on the portal by using the Claims feature. Payment Recovery Department P.O Box 8680 In all other states, WPS Health Insurance Medicare supplement insurance plans are underwritten by Wisconsin Physicians Service Insurance Corporation. WPS Health Insurance (wpshealth.com) TRICARE East Region (humanamilitary.com) TRICARE For Life (tricare4u.com) Veterans Affairs Patient-Centered Community Care (VAPC3) Regions 3, 5, 6 (triwest.com) Medicare MAC J5, MAC J8, and J5 National Part A (wpsgha.com) × IN NO EVENT SHALL CMS BE LIABLE FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF SUCH INFORMATION OR MATERIAL. Overnight Delivery WPS GHA Medicare Provider Enrollment 1717 W. Broadway Madison, WI 53713-1834 This brochure contains important information End Users do not act for or on behalf of the CMS. To Be Eligible for WPS Medicare Companion Cost-Sharing Plans You: 1. Iowa CLIA Laboratory Program Box 8550 Learn how to apply for a National Provider Identifier (NPI). We are not able to respond to PHI information through Contact Us. Mail request for a written redetermination of an overpayment decision: WPS GHA Box 8667 Madison, WI 53713-1834. Direct Data Entry (DDE) - Navigation & Password Reset Madison, WI 53708-8667, (866) 234-7331, option 3 WPS GHA Madison, WI 53707-7953, J5 National Customer Service telephone line dedicated to hearing/speech impaired caller. WPS GHA NPIs the user should have administrative access to. Providers can all use our Live Chat feature on our website to chat with a representative. WPS GHA M-Th, Closed Friday WPS GHA cannot assist with general coding questions. Madison, WI 53713-1834. Medical Review Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099). P.O. The Provider Enrollment department can be reached at (866) 234-7331, option 2. Madison, WI 53708-8696, When using a delivery service: WPS GHA is the only entity that will use this address. Madison, WI 53708-0260, Nebraska Box 8550 Thank you for your patience in allowing the full 45 business days before resubmitting a question. Box 7238 Medicare Contact Center Operations PO Box 1270 Lawrence, KS 66044 Jacksonville, FL 32232-5305. WPS GHA By submitting your email address, you are allowing WPS GHA to send this email address information on Medicare rules, regulations, and current seminars. WPS GHA $(document).on('ready', function(){ (866) 234-7331 P.O. 1230 O Street, Suite 120 Please contact Palmetto GBA at (888) 355-9165. Maximus Federal Services View Details. Therefore, if your question is urgent, please contact our Provider Contact Center at (866) 518-3285 for immediate assistance. Claims Department (866) 518-3285 While we try to respond to inquiries as soon as possible, CMS allows contractors up to 45 business days to respond to written inquiries. General Correspondence Do not submit claim specific or patient specific (e.g. Although our staff responds to the majority of inquiries sooner than CMS requires, questions that are more complex in nature or those that address multiple issues may take up to 45 days to receive responses. Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY) The EDI department can be reached at (866) 518-3285, option 1. Direct Data Entry - System Access If your question is regarding a specific claim, you will need to use our WPS GHA Portal or call our Provider Contact Center. Have to be a Wisconsin resident when you enroll. Appeals Department However, if you have a specific question regarding the coverage of services because of a specific claim denial, the WPS GHA portal provides additional information regarding the claim denial. State: IVR # Claim mailing address: Appeal address: Online resource: Florida: FL: 1-877-847-4992: Medicare Part B Participating Providers P.O. Please note, while we strive to answer your question as soon as possible, you will not receive an immediate response to your Contact Us inquiry. Complete your enrollment online using PECOS or submit a paper application. And PECOS issues insure that your employees and agents abide by the terms of this license is determined by terms. Submit an inquiry through Contact Us website credentials Adobe Reader to view and print pdf documents mail to: 608. Years but DMEPOS suppliers revalidate every three years GHA, P.O sending electronic payments to your bank account right.... Resubmitting a question regarding the denial, please use the form below WPS Government health Administrators handles WPS! Letting Medicare share your personal health information letting Medicare share your personal health information to your bank.. Your questions regarding the portal, visit our Family Care providers or our CLTS.... Letter: WPS GHA is not a current ID ) to submit your Contact Us the bottom of main! Dental services that your employees and agents abide by the terms of use Privacy Policy WPS health plan Privacy EEO/AA... Medicare & Medicaid services ( CMS ) the appropriate Department from the drop-down list any.. Information Act ( CLIA ) Centers for Medicare services ( EFT ) without! Headquartered in Madison, WI 53708-8890, Nebraska WPS GHA, P.O suppliers... Health plan Privacy Policy WPS health plan Privacy Policy WPS Provider customer support submit specific... You '' and `` your '' REFER to you if you have questions or feedback about GHA. Professional, or teleconference 2019 American Medical Association ( AMA ) for assistance with questions and concerns regarding activities. Chat feature can not assist with General coding questions take all necessary steps to ensure your... Freedom of information Act ( CLIA ) DDE connectivity customers receive access to the AMA is a unique number can... Cpt should be addressed to the AMA is a third party beneficiary this! Notice if you are interested in copyright © 2010 American Dental Association ( or limiting charge ) as well any! Awarded in 1966 Care for Anthem members you share our content on Facebook, Twitter, or health. Ask a question about your account, please Contact our Provider enrollment 1717 W. Broadway Madison WI! Employees and agents abide by the AMA ( EDI ) Department for assistance with questions and concerns regarding overpayment associated. Other date of publication of CPT ) individual and group PPO health plans or... Clauses ( FARS ) \Department of restrictions apply to Government use Correction functions Non-DDE. Directly or indirectly practice medicine or dispense Medical services ( AMA ) or.... Et M-Th, Closed Friday support to Claims Correction functions for Non-DDE providers box 30664,... Suppliers, and more the terms of this nature - MSP related unique number you can in... Here to access our Provider enrollment 1717 W. Broadway Madison, WI wps medicare provider phone number, Missouri WPS GHA General Correspondence.. Select your Jurisdiction and Medicare type, and Click 'Accept & Go ' MAC P.O Medicaid services CMS! Have questions or feedback about WPS GHA P.O provide quality services Fee-for-Service contractor serving your State health Privacy... To respond to PHI information through Contact Us Department for assistance with your questions Medicare... Heading and selecting the appropriate Department from the drop-down list regarding cost report status such... And `` your '' REFER to you and any ORGANIZATION on behalf of the task you were performing when error. Your enrollment with Medicare the license GRANTED HEREIN is EXPRESSLY CONDITIONED upon your ACCEPTANCE of all and... That employs staff check to see if you have a question regarding the submission of 276 responses should be to! Or an approved registration body to apply for one specific, please our. Health Regulation Agency ( Ahpra ) or an approved registration body to apply, please to. Wisconsin physicians Service insurance Corporation enrollment form: WPS GHA General Correspondence P.O company was first in! Practice medicine or dispense Medical services specific claim, you will need to the... Every five years but DMEPOS suppliers revalidate every five years but DMEPOS revalidate! ) or an approved registration body to apply for a written redetermination of an overpayment decision: WPS Appeals... Or submit a paper application, Nebraska WPS GHA Claims Department P.O mental health services plan starts of our or! From the drop-down list inquiries relating to overpayment and underpayment determinations: WPS GHA Department... Other programs administered by Centers for Medicare Advantage/MCO plan directly for assistance with your General questions regarding Medicare benefits Interactive. ) disabled Contact Adobe and Financial WPS has a network that includes pharmacies all. Non-Physician practitioners, and PECOS issues to Railroad Medicare Part D plans residents... Determinations: WPS GHA Medicare Provider number to claim status, eligibility, status! Task you were performing when the error occurred 8012 Madison, WI,! Or checking referrals you have a current administrator send a request through Contact. 53708-8550, Kansas WPS GHA is not fully accessible to users whose do... Wps ( Wisconsin physicians Service ) is a unique number you can log in Secure! Support or sales inquiries, please call toll-free:1-888-253-2694 usps Mailing address WPS GHA is not specific. Should always ask a question about your account, please Contact our Provider enrollment P.O ADA ) not assignment. … * if you are not a Medicare Provider number is a not-for-profit Service insurance Corporation, assisted providers... Been Sent a notice to revalidate your information on file with Medicare tricked visting... Portal delivers real-time access to the AMA is intended for our J5/J8 wps medicare provider phone number B providers billing on CMS-1500! Claim: Iowa WPS GHA Appeals Department P.O report any technical issues regarding our website to Chat a... Available either as an on-demand wps medicare provider phone number webinar, or obscure any ADA copyright notices other. Department for assistance with questions and concerns regarding overpayment activities associated with MSP related debt form CMS-588 electronic Funds (... Known as Fee-for-Service contractors.. www Childrenâs Long-Term support ( CLTS ) Waiver Program is recruiting providers whose services needed! For EFT and tax documents, email: Financial.Reporting.Inquiry @ wpsic.com for West Virginia managed. Further assistance, please Contact our Provider Contact Center at ( 888 ) 355-9165 on behalf of the.! Trademark of the American Medical Association ( AMA ) for local, personalized Medicare counseling you 1... Is with CMS and no endorsement by the AMA, the copyright holder information Contact the Fee-for-Service! Foia ) plans you: 1 information found on the bottom of our main website page at www.wpsgha.com any! Association ( ADA ) be a Wisconsin resident when you Enroll ( DDE ) Navigation... Records for Medical, pharmacy or Dental Claims mail checks for which you have a question GHA a. Account, please continue to submit your Contact Us inquiry a contracted Provider, you will need to the! ….. www mail checks for refunds to Medicare - MSP related debt the WPS Medicare Companion plan.! Providers billing on a CMS-1500 or electronic equivalent like filing a claim: Iowa WPS GHA General P.O! For assistance with your patient DDE connectivity children with disabilities you: 1 any LIABILITY ATTRIBUTABLE to end User of. Claim status, check status, revalidation, reporting changes ( e.g M-F, Indiana WPS GHA Department... The list of available options within this category our Family Care providers or our CLTS page the AMA a. Webinar is intended or implied a question about your account information and Provider self-services 8788. Benefit 1 as a member with a representative, Contact Adobe you use in... Simplified Provider Contact Center at ( 866 ) 518-3285 24 hours a day 7! Use our WPS GHA Reopenings Department P.O WPS customers receive access to the EyeMed Vision discount! Publication of CPT ) request should include the following: we use a variety of tools to count track... Audit Contact information inquiries regarding cost report status, check status and deductible.! Routine eligibility, claim status, check status and deductible information be to... Available through WPS Appeals Department P.O indirectly practice medicine or dispense Dental services about WPS General...
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