WPS
P.O. Box 77028
Madison, WI 53707-1028
Correspondence:
WPS
P.O. Box 77029
Madison, WI 53707-1029
Wisconsin Physician Service (WPS) offers the following electronic filing options:
Professional, hospital, and other providers may enter and submit TRICARE claims online over the secure TriWest web site, and receive an immediate processing response. The claim entry screens have been designed to contain only the data that TRICARE requires for claim processing.
Providers may choose an electronic data interface (EDI) software program from a vendor, clearinghouse or billing service whose software has already been approved for TRICARE electronic claims submission. WPS' EDI Connection publication, available at www.wpsic.com/edi/pdf/tricareconnection.pdf, provides information providers need to make an informed vendor or clearinghouse selection.
Providers may choose an EDI software option supplied by WPS that provides a stand-alone solution, creates a patient database, and allows claims entry and claims transmission to WPS. WPS’ print-file software converts print-image claim files from a practice management system into an electronic format for submission to WPS.
WPS accepts direct submission of EDI claims 24 hours a day, seven days a week. EDI claims are processed quickly. This means providers get reimbursed sooner. Providers experience lower administrative costs and reduce their postage costs and mailing time by using the EDI option. Providers also receive immediate feedback with every step of the electronic claims processing cycle.
Electronic Remittance Advice (ERA)
The Electronic Remittance Advice (ERA) can help improve your business office workflow and productivity. Now available through WPS, the ERA can be automatically loaded into your accounts receivable system depending on your software. Your ERA can be a secure and reliable alternative to manually posting claim adjudication information to an accounts receivable software program and allow you more time to focus on caring for your patients.
To enroll, please download and complete the Electronic Remittance Advice (PDF) document located at www.triwest.com, Find a Form tab and return it to:
WPS Electronic Data Services
PO Box 8128
Madison, WI 53708-8128
For further information about ERA, refer to the 835 Electronic Remittance Advice Transaction guide located in the Your EDI Connection in the Provider Connection area of www.triwest.com.
Please contact one of WPS' EDI consultants for assistance in determining the best option for electronic claim submission. Providers may contact WPS by phone at 1-800-782-2680 or through its web site at www.wpsic.com.