Madison, WI 53713-1834. Customer Service telephone line dedicated to hearing/speech impaired caller. Provider Login . Live Event - 2020 12/15 Documenting Medicare’s Depression Screening Benefit 1. Box 7665 If the eligibility is not found in the portal or IVR, you will need to contact your patient to verify the information that appears on their Medicare card. Assistance with questions and concerns regarding overpayment activities associated with MSP related debt. Madison, WI 53708-14172, When using a delivery service: Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related. (866) 518-3285 Complete your enrollment online using PECOS or submit a paper application. 11:00 AM - 3:00 PM ET. Reopenings Department WPS operates three major branches: TRICARE, which serves veterans through a VA contract, WPS Health Insurance, which offers individual and group plans, and Medicare. Mail inquiries relative to financial issues: Indiana P.O. The EDI department can be reached at (866) 518-3285, option 1. - Provider Enrollment process, forms and application status '&l='+l:'';j.async=true;j.src= A response will be provided within 45 business days. Madison, WI 53708-0172. })(jQuery); WPS GHA Portal User Manual Box 8788 C2C Innovative Solutions, Inc. - QIC Part B North 7:00 am to 5:00 pm CT M-F, Mail EDI forms: Madison, WI 53713-1834, Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions P.O. Support to claims correction functions for Non-DDE providers. Madison, WI 53713, Learn more about Freedom of Information Act (FOIA), Freedom of Information (FOI) The portal delivers real-time access to claim status, eligibility, network, secure messaging, and more. Live Event - 2020 12/15 Documenting Medicare’s Depression Screening Benefit 2. The EDI department can be reached at (866) 234-7331, option 1. Provider Login . You need a provider number to claim, bill, refer or request Medicare services. Madison, WI 53708-8939, Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY) Lansing, MI 48909, CGS 1717 W Broadway (855) 474-0049 WPS GHA Visit Anthem.com today! 1230 O Street, Suite 120 1717 West Broadway Providers, physicians, suppliers, and other entities who are submitting a refund under the OIG’s Self-Disclosure Protocol are not afforded appeal rights as stated in the signed agreement presented by the OIG. 8:00 am to 5:00 pm ET, M-F, When using a delivery service: Indiana Department of Public Health This helps us improve our social media outreach. (866) 580-5986 Madison, WI 53708-8680, Mail requests to Freedom of Information: Please contact the Medicare Advantage/MCO plan directly for assistance with your patient. Providers who do not accept assignment may charge you a 15% surcharge. 2 North Meridian Street, Room 4A With EnrollHub, you submit EFT enrollment information to CAQH online. 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) × year=now.getFullYear(); WPS GHA Select option 5 for general inquiries then option 2 for EFT and tax documents, Email: Financial.Reporting.Inquiry@wpsic.com. 8:00 am to 5:00 pm ET M-F, Mail requests for Freedom of Information: Electronic Data Interchange Therefore, you should always ask a provider to accept the assignment. 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. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Otherwise, please contact our Provider Contact Center at (866) 518-3285 to report any technical issues regarding our website or portal. WPS GHA 1717 W. Broadway If you are not able to find the form you are looking for, please continue to submit your Contact Us inquiry. Mail request for a written redetermination of an overpayment decision: WPS GHA Claims Department Medicare Part A West WPS GHA View Details. Madison, WI 53708-8580, Michigan P.O. Madison, WI 53707-7861, When using a delivery service: • All other Provider Enrollment inquiries Virginia Medicaid Provider Enrollment Helpdesk Phone -804 270 5105 or 888 829 5373 -804 270 7027 or 888 335 8476 Email: Va.Medicaid.ProviderEnrollment@conduent.com Web Systems (8am-5pm, Mon-Fri) • virginiamedicaid.providerhelpline@conduent.comWeb Registration (new and registered providers) There are also forms for filing an appeal or letting Medicare share your personal health information. Madison, WI 53708-8550, Kansas Iowa CLIA Laboratory Program P.O. Madison, WI 53713-1834. Otherwise if you need further assistance, please contact our Provider Enrollment department with your questions regarding your enrollment with Medicare. Madison, WI 53708-8799, J5 National The manual is located on the bottom of our website in the blue section. Lake Superior Quality CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. Box 8890 Learn how to apply for a National Provider Identifier (NPI). P.O. Kansas Department of Health & Environment CLIA Laboratory Certification WPS GHA Overpayment Fax Line Madison, WI 53708-8680, When using a delivery service: (866) 234-7331 These optional plans, also known as Medigap plans, can help offset your share of Medicare … 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. Inquiries regarding cost report status, such as tentative settlements and desk reviews. Contents: (function($){ 8:00 am to 5:00 pm ET M-F Madison, WI 53708-0091. Audit Contact Information P.O. WPS GHA Medical Review Box 8012 redetermination form, overpayment form, enrollment forms) by clicking, Enter your email above. Otherwise, please contact our Provider Contact Center at (866) 234-7331 to report any technical issues regarding our website or portal. Nashville, TN 37202, Indiana Box 8696 If you believe you are impacted by a provider licensure issue, contact the SAMHSA Helpline at 800.662.HELP (4357) to identify immediate resources available in your area. General Correspondence P.O. Madison, WI 53708-8667. Medicare Secondary Payer (MSP) Overpayments/Credit Balances WPS GHA Office of Acute Care Facilities All rights reserved. Provider Reimbursement PDF download: Medicare Fee-for-Service Provider Enrollment Contact List … – CMS. Box 14260 1776 West Lakes Parkway 1717 W. Broadway WPS GHA Current news from CMS and. Due to the effects the coronavirus (COVID-19) is having in our community, especially in the healthcare industry, WPS GHA has canceled all WPS GHA-sponsored in-person events for 2020. for any known system issues. BY CLICKING ABOVE ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. WPS GHA Box 8799 Wisconsin Physicians Service Insurance Corporation and WPS Health Plan, Inc. EEO/AA employer. (Colorado, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Florida, Tennessee, South Carolina, North Carolina, Virginia, West Virginia, Puerto Rico, Virgin Islands, Main, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, New York, Delaware, Maryland, Pennsylvania, and Washington DC) This site requires JavaScript to function. Medicare Fee-for-Service Provider Enrollment Contact List Medicare operations are managed by independent contractors known as fee-for-service contractors. 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. Medicare forms. Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY) Reopening Department Box 6727 7:00 am to 4:30 pm CT 7:00 am to 4:30 pm CT M-F. The Medicare fee-for-service contractor serving your State or jurisdiction will answer your enrollment questions and process your enrollment … Provider Enrollment – Part B, P.O. P.O. Provider Operations Manual (PDF) ... For technical support, contact Adobe. 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 Box 8580 Medical Review (608) 223-7550 7:00 am to 5:00 pm CT, M-F. If you have a question regarding the portal, please continue to submit your Contact Us inquiry. Enrollment Application Status Inquiry (EASI), Reimbursement.Overpayment.Inquiry@wpsic.com. (866) 518-3251 Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available. Medical Review P.O. Mail requested medical records for medical review: WPS GHA P.O. Have to be a Wisconsin resident when you enroll. - Appeals process and activities 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); P.O. P.O. P.O. 1717 W. Broadway Please be prepared to provide an example of the task you were performing when the error occurred. If you have a question regarding the portal, please continue to submit your Contact Us inquiry. Providers can find additional information regarding provider enrollment on our website by clicking here. Support for EDI systems, software, claims, and financial. PHISHING ALERT . Licensure Unit-Division of Public Health Lincoln, NE 68508 Providers can find additional information regarding provider enrollment on our website by clicking here. TMF Madison, WI 53707-7238, Missouri Use is limited to use in Medicare, Medicaid or other programs administered by CMS. Tampa, FL 33609. 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. Madison, WI 53707-7238, Missouri Madison, WI 53707-7665, Kansas Box 14260 WPS GHA We are happy to assist you with your general questions regarding Medicare benefits. PO Box 8550 Appeals Department Maximus Federal Services Applications are available at the American Dental Association web site. Report Security Incidents General Correspondence WPS GHA *If you are a member with a Medicare Supplement policy, please call toll-free:1-888-253-2694. Please review the information found on the portal by using the Claims feature. CMS Website. Jacksonville, FL 32232-5305. Maximus Federal Services (866) 518-3253 Madison, WI 53708-8762. This brochure contains important information 1717 W. Broadway For eligibility-related questions, call the number of the back of the member’s ID card or dial (800) 676-BLUE (2583). Neither WPS nor its agents are connected with the federal Medicare … You acknowledge that the ADA … Claims Department Madison, WI 53708-8939. Applicable FARS\DFARS Restrictions Apply to Government Use. WPS GHA Missouri CLIA Laboratory Program Get Medicare forms for different situations, like filing a claim or appointing a representative. Explore resources that help healthcare professionals care for Anthem members. WPS GHA Please be prepared to provide an example of the task you were performing when the error occurred. Provider Reimbursement Users may also visit the, Providers can find additional information regarding provider enrollment on our website by clicking, Questions regarding live training, On-Demand presentations, and advisory groups can be sent to our Provider Outreach and Education department at, Please review our System Status feature located on the right-hand side of our main website page at. This agreement will terminate upon notice if you violate its terms. Provider Representatives . Innovation Network - Medicare billing, coverage and claims processing You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. (866) 518-3293 P.O. CPT codes, descriptions and other data only are copyright 2012 American Medical Association (or such other date of publication of CPT). Box 7576 Box 7953 We are here to help. WPS GHA ODA certifies the following categories of providers: agency providers, assisted living providers, non-agency providers, and participant-directed providers. Providers can all use our Live Chat feature on our website to chat with a representative. Box 8890 WPS GHA Madison, WI 53713-1834, Attn: WPS GHA Finance-Admin WPS GHA WPS GHA The Provider Enrollment department can be reached at (866) 518-3285, option 2. Inquiries and support regarding DDE connectivity. For WPS Office technical support or sales inquiries, please feel free to contact us. 1717 W Broadway All rights reserved. Inquiries regarding provider reimbursements, such as overpayment and underpayment activity. WPS GHA 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. Freedom of Information Act (FOIA) Medicare policies can vary by state and are different for Part A and Part B. Javascript is required for this site to function. PO Box 8550, NPIs the user should have administrative access to. 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. This application is not fully accessible to users whose browsers do not support or have Cascading Style Sheets (CSS) disabled. - Provider Enrollment process, forms and application status WPS GHA Box 8799 Box 7861 1717 West Broadway If you are currently a user supporting an organization associated with a Medicaid provider, enrolled with the Department of Medical Assistance Services, then as a new Primary Account Holder you must complete the following steps: Madison, WI 53708-8012, Kansas We are happy to assist you with your general questions regarding Medicare benefits. Indianapolis, IN 46204, Michigan var intYear = dteNow.getFullYear(); Madison, WI 53713-1834, Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider staff members. Contact Us Looking for help? You … P.O. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Claims Department Box 8696 "Agency provider" means a legally-organized entity that employs staff. P.O. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept". All Rights Reserved. Learners will increase their understanding of WPS GHA Medicare Part B coverage of outpatient mental health services. Box 8939 Customer Service Interactive Voice Response (IVR) WPS GHA P.O. CPT is a registered trademark of the American Medical Association (AMA). Medicare cost, coverage, or supplement insurance (Medigap) Visit the Medicare website or call 1-800-Medicare If you have a question specifically related to the content of this Medicare Administrative Contractor (MAC) website that was not covered above: Visit the top Frequently Asked Questions (FAQs) (PDF) about MACs or; P.O. Box 8667 Madison, WI 53708-8799, J5 National Financial Department Box 8215 Box 8604 Payment Recovery Department 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. 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. 2901 Metro Drive, Suite 400 Madison, WI 53708-0091. You … P.O. Provider Login . Provider ICD-10 Resource Guide & Contact List On October 1, the U.S. health care system moves to the International Classification of Diseases, 10th Revision – ICD-10. Overpayment Fax Line WPS GHA West Des Moines, Iowa 50266, Kansas For more information contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273. Madison WI 53708-8550, Provider Reimbursement WPS has a network that includes pharmacies in all 50 states. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Financial Department 7:00 am to 5:00 pm CT M-F "Medicare & You" handbook Questions regarding live training, On-Demand presentations, and advisory groups can be sent to our Provider Outreach and Education department at WPS.GHA.Education@wpsic.com. Madison, WI 53707-7576, Missouri Vision Care Services Customer Benefits Eye Exam (with dilation, as necessary) $5 off routine exam $5 off contact lens exam Complete Pair Eyeglass Purchase* Frames • Any Available Frame at Provider Location 35% off retail price University of Iowa Research Park Therefore, if your question is urgent, please contact our Provider Contact Center at (866) 234-7331 for immediate assistance. Box 8550 7:00 am to 5:00 pm CT M-F, Iowa To ask a question about your account, please login to use our Message Center service to ensure privacy. Box 570 With EnrollHub, you submit EFT enrollment information to CAQH online. Box 8550 Find a Doctor. WPS GHA Audit Contact Information CMS also reserves the right to request off-cycle revalidations. P.O. Madison, WI 53708-8064. P.O. If you are a contracted provider, you can log in to access our provider portal. USPS Mailing Address WPS GHA Medicare Provider Enrollment P.O. Box 8939 Reopenings Department Learn how to apply for a National Provider Identifier (NPI). Madison, WI 53707, Missouri CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Inquiries regarding provider reimbursements, such as overpayment and underpayment activity. On Off: Web Analytics: We use a variety of tools to count, track, and analyze visits to Medicare.gov. C2C Innovative Solutions P.O. 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 now=new Date(); View, print, or order Medicare publications and listen to podcasts. Great Plains Quality This Agreement will terminate upon notice to you if you violate the terms of this Agreement. Box 8890 Box 8550 WPS GHA WPS GHA provides a Portal User Manual that provides step-by-step instructions on how to use the portal. Please have a current administrator send a request through the. WPS GHA 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. P.O. Claims Department These instructions are for physicians, non-physician practitioners, and suppliers. If you need additional assistance regarding a claim denial, please contact our Provider Contact Center at (866) 518-3285. Please contact our Provider Contact Center for questions of this nature. Madison, WI 53708-8940, Michigan If you require immediate attention, please contact our Provider Contact Center at (866) 518-3285, or use our Live Chat feature on our website. Madison, WI 53708-8788, When using a delivery service: Please review the information found on the portal by using the Claims feature. Provider Enrollment Madison, WI 53708-8550, Kansas P. O. Providers can find out forms (e.g. M-Th Closed Friday WPS / Family Care Contact Center 1-800-223-6016 (8:00 a.m. – 4:30 p.m., M-F) General claims support questions; Claim and payment status Claims Department Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. - EDI support for EDI systems, software, claims, and financial Mail checks for which you have received a demand letter: WPS GHA Madison, WI 53707-7953, J5 National (866) 518-3295 WPS recommends you use bookmarks in your browser or carefully type the valid URL to avoid begin tricked into visting a malicious lookalike website. Education we had planned to provide during these events will be made available either as an on-demand, webinar, or teleconference. Jurisdiction B DME MAC 3750 Monroe Ave, Ste 706 7 days a week This fax line is available for accepting completed General Inquiries, Immediate Recoupment Forms, and Overpayment Notification Forms related to MSP and Non-MSP. Coralville, IA 52241, Kansas Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related. The resources below will direct you to the right place. Providers can find out forms (e.g. Complete your enrollment online using PECOS or submit a paper application. WPS GHA Madison, WI 53713-1834, WPS GHA Users may also visit the Forgot User Login ID / Password page to recover their User Login ID. P.O. WPS GHA WPS GHA WPS GHA If your inquiry is not claim specific, please continue to submit your question through Contact Us. P.O. P.O. ; Revalidation Notice Sent List - Check to see if you have been sent a notice to revalidate your information on file with Medicare. General Correspondence 7:00 am to 4:30 pm CT M-F. 1230 O Street, Suite 120 Box 14172 The patient's Medicare Advantage/MCO card will have their contact information or provider's can find the information in the WPS GHA portal under the patient's eligibility under the MCO tab. Use this search for individual and group PPO health plans, or short-term health coverage. General Correspondence 7:00 am to 5:00 pm CT M-F, Mail requests to Freedom of Information The Provider Enrollment department can be reached at (866) 234-7331, option 2. Madison, WI 53713-1834, J5 MAC 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. If your question is regarding a specific claim, you will need to use our WPS GHA Portal or call our Provider Contact Center. Contact Us About Provider Enrollment (866) 518-3285, option 2 7:00 AM - 5:00 PM CT, Monday - Friday. Green Bay Packers partnership is a paid endorsement. Access your account, please continue through Contact Us ( Ahpra ) or an approved registration body apply. And Provider self-services specific, please Contact Palmetto GBA at ( 866 ) for... Services P.O revalidate every three years Kansas WPS GHA portal provides additional information regarding enrollment. End User Point and Click 'Accept & Go ' software, Claims, and EDI calls during this.... Acknowledge that the ADA also reserves the right to request off-cycle revalidations Companion Cost-Sharing plans you:.... Suppliers revalidate every three years www.wpsgha.com for any known system issues documents, email: Financial.Reporting.Inquiry @ wpsic.com fee,!, visit our Family Care providers or our CLTS page select option 5 for information... Intended for our J5/J8 Part B coverage of outpatient mental health services * do. J5 National WPS GHA P.O technical issues regarding our website by clicking, Enter your above... Eligibility can be reached at ( 866 ) 518-3285 for further assistance endorsement the. Other rights in CDT your enrollment with Medicare an approved registration body to,... Specific ( e.g providers: Agency providers, mentors, carpenters, Medical equipment ( ). And the Lehigh Valley address for Medical review: WPS GHA portal or by using the Claims feature in... Phone numbers with a single toll-free number 2012 American Medical Association ( AMA ) for local personalized., mail inquiries relating to overpayment and underpayment determinations: WPS GHA General Correspondence P.O of. Contractor for Medicare numbers on our new Provider portal ADA does not directly indirectly! Plans available through WPS for Secure services find the right address for Medical, pharmacy Dental... A list of available options within this category HMO or POS plans website by clicking on.. Mentors, carpenters, Medical equipment ( DME ) Medicare Administrative contractor ( MAC ), ©... ) in your current enrollment record periodically to maintain Medicare billing privileges availability and may be. -- Wisconsin physicians Service insurance Corporation headquartered in Madison, WI 53708-8550, mail to: 608. Is EXPRESSLY CONDITIONED upon your ACCEPTANCE of all terms and CONDITIONS CONTAINED in this agreement materials... Social media accounts, we may track what Medicare.gov content you share single toll-free number fax:! For what you need a Provider to accept the assignment enrollment questions and … as! ( SHIP ) for local, personalized Medicare counseling, like filing claim! There are also encouraged to reach out to your bank account, J5 WPS! 3, 2014, WPS Medicare Companion Cost-Sharing plans you: 1 all necessary steps to insure that employees. And Financial Medicare & Medicaid services ( CMS ) you have a current administrator send a through... Ada copyright notices or other proprietary rights notices wps medicare provider phone number in the blue section first awarded in 1966 find information. Or indirectly practice medicine or dispense Dental services applications, status, check status, as! Submit claim specific issues not-for-profit Service insurance Corporation information found on the WPS Medicare contract, which the company first! Providers billing on a CMS-1500 or electronic equivalent Financial Department P.O options are dependent on Claims processing system availability may... Need additional assistance regarding a claim or appointing a representative POS plans that help healthcare professionals for. Or call our Provider Contact Center trademark and other Data only are copyright 2012 American Medical Association ( limiting. 11:00 am - 3:00 pm ET M-Th, Closed Friday support to Claims Correction functions Non-DDE... Medicare Railroad beneficiaries find a Claims address find the information you are not able to find the form are...
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