Find the right phone number for what you need. 8:00 am to 5:00 pm ET M-F, Inquiries regarding refunds to Medicare - MSP Related })(jQuery); WPS GHA Portal User Manual P.O. WPS Small Business Policy | Wisconsin Physicians Service®. Failure to do so, regardless of third party payer error, does not constitute “good cause” that will permit reopening beyond one year. (866) 518-3285, option 4 ", Potential Reasons Medicare May Extend the Late Filing Limit. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. (866) 234-7331, option 4 All providers and suppliers have a legal obligation to determine the correct primary payer when billing Medicare. Since claims denied for timely filing do not have appeal rights, the WPS GHA Appeals area cannot grant any waiver to the timely filing deadline after we process the claim. Asking for a Claim Reopening for a Medicare Denied Claim Not Filed Within the Time Limits due to Third Party Error. Circumstances such as backdated Medicare entitlement may also qualify for an extension of the timely filing deadline. HNFS Provider Services Line (Regions 1, 2 and 4) 1-844-728-1914 (Monday through Friday, 8:30 a.m.–5:00 p.m. Eastern time, excluding certain holidays). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Box 7665 8:00 am to 5:30 pm ET M-F, EDI: (866) 234-7331, option 1 24 hours a day, 7 days a week, Claim Corrections: Madison, WI 53708-8696, When using a delivery service: 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri Green Bay Packers partnership is a paid endorsement. It is important that the request for a waiver of timely filing and documentation supporting the request accompany their claim. Prevent Fraud | If you have questions about claims for HNFS-authorized services rendered on or before Sept. 30, 2018, contact our Provider Services Line at 1-844-728-1914. About | Careers | CMS does not accept errors caused by incorrect third party payment as justification for not submitting timely claims to Medicare. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. (866) 580-5980 The scope of this license is determined by the AMA, the copyright holder. Claims Department Manager 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. (866) 234-7331 (866) 518-3285 Iowa  Privacy Policy | 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 Purchase Order Terms and Conditions | In some cases, your insurance company will guide you to the "in network" providers like Synergy Physical Therapy & Wellness. Box 8248 Internet Explorer Compatibility View It looks like you have enabled Internet Explorer Compatibility View or are using an older version of Internet Explorer. The patient is not responsible for the entire billed amount. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Payment.Recovery.Inquiry@wpsic.com, (866) 518-3285, option 2 Iowa  If you are in Regions 1, 2 or 4, you can enroll for WPS EDI as part of Resources P.O. year=now.getFullYear(); Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Secondary.Payer.Inquiry@wpsic.com, Questions regarding overpayments NOT associated with MSP related debt 7:00 am to 5:00 pm CT (8:00 am to 6:00pm ET) M-Fri Applications are available at the American Dental Association web site. How we’re different: High-value health plans connecting you with health care providers across the state. Find a Claims Address Find the right address for medical, pharmacy or dental claims. Box 7238 DDE Navigation & Password Reset: (866) 518-3251 Madison, WI 53708-8550, Kansas Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Provider Network of America Tricare West Region UMR United Health Care United Health Care Choice Plus United Health Care Medicare Complete United Healthcare Medicare Advantage United Healthcare Medicare Advantage PPO United Healthcare West WPS VACAA/Triwest Healthcare Alliance High-value health plans connecting you with health care providers across the state. In rare cases, CMS permits Medicare contractors to extend the time limit for filing a claim beyond the usual deadline if the provider can show good cause for the delay in filing the claim. $("#wps-footer-year").text("").text(year); Madison, WI 53708-8940, Michigan 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. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Reimbursement.Overpayment. Claims Department Manager Users may also visit the Forgot User Login ID / Password page to recover their User Login ID. To be eligible for Medicare reimbursement, providers must file claims within a qualifying time limit. Since claims denied for timely filing do not have appeal rights, the WPS GHA Appeals area cannot grant any waiver to the timely filing deadline after we process the claim. Secondary.Payer.Inquiry@wpsic.com, Inquiries regarding overpayments NOT associated with MSP P.O. This agreement will terminate upon notice if you violate its terms. CPT codes, descriptions and other data only are copyright 2019 American Medical Association. In 1950 operations moved to Madison, and over the following years, offices were opened across the state. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. now=new Date(); var dteNow = new Date(); WPS GHA Part B Box 8604 In order to provide timely, quality care, providers must comply with clear access to care standards. All Rights Reserved. PO Box 8987 Madison, WI 53708-8667. (866) 518-3253 Supplier Code of Conduct | PHISHING ALERT . Claims Department  End User Point and Click Agreement: Madison, WI 53708-8890, Nebraska P.O. The Claims Manager will review the request to determine whether good cause exists, as defined by CMS. WPS GHA WPS Health Insurance Privacy Policy WPS Health Plan Privacy Policy AspirusArise Privacy Policy All Around ... Home medical equipment is ordered through your healthcare provider. (866) 234-7331, option 5 1717 W. Broadway Claims Department 8:00 AM - 5:00 PM ET, Monday - Friday, LCD Reconsideration Request: Policycomments@wpsic.com, Draft LCD Comments: Policycomments@wpsic.com, RSVP for Open Meeting and CAC: LCDCAC@wpsic.com, Questions about Payments and Incentive Programs P.O. (866) 518-3285 Find a Doctor. Please enable JavaScript to continue. To continue, please select your Jurisdiction and Medicare type, and click 'Accept & Go'. It is important that the request for a waiver of timely filing and documentation supporting the request accompany their claim. 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. Contractors may only reopen for third party payer error under the “within one year for any reason” standard. It covers how to schedule appointments and the healthcare services available to veterans. Reimbursement.Overpayment. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. Madison, WI 53713-1834, WPS GHA Send a private, protected message! Wisconsin Physicians Service was created in 1946 by the State Medical Society of Wisconsin in Milwaukee, with the goal of assisting local residents with the cost of medical care. P.O. WPS recommends you use bookmarks in your browser or carefully type the valid URL to avoid begin tricked into visting a malicious lookalike website. Current news from CMS and. 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. Select the option below that best describes you. This is true for both contractor initiated reopenings as well as reopenings requested by a party. WPS-VACAA* Medicare* *Participating in network with this insurance. WPS-VACAA* Medicare* *Participating in network with this insurance. By phone at: 1 -866 284 3743 High-quality health insurance plans for individuals, families, and businesses; exceptional care through our Statewide Network of doctors, clinics, and hospitals. WPS GHA Claims Department Manager WPS GHA Part B Madison, WI 53708-0172, (866) 518-3285, option 5 Login here to access your account information and provider self-services. WPS offers a secure way for you to send us any questions you might have, including those related to your health or customer account. Contact; Business Units . Box 8667 Address. The scope of this license is determined by the ADA, the copyright holder. Showing WPS GHA Portal Content for Jurisdiction, DDE Navigation & Password Reset: (866) 518-3251, DDE Navigation & Password Reset: (866) 580-5986. 1717 W. Broadway CMS indicates that Medicare contractors could determine good cause exists when an administrative error on the part of an official Medicare employee acting on behalf of the Medicare contractor within the scope of his/her authority caused the delay. Therefore, do not send your request to WPS GHA using the Redetermination Request Form. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept". Under the new law, providers must file claims for services furnished on or after January 1, 2010, within one calendar year of the date of service. Being a preferred provider does not guarantee reimursement for your insurance scompany. Madison, WI 53708-8604. 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. Box 8890 Since claims denied for timely filing do not have appeal rights, the WPS GHA Appeals area cannot grant any waiver to the timely filing deadline after we process the claim. Madison, WI 53708-8248, Overnight Delivery CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. Madison, WI 53708-8602, Michigan CDT IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THE IMPLIED WARRANTIES O F MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Facility Rules for Visitors | Box 7861 8:00 am to 5:00 pm ET M-F, Claim Corrections/Reopenings: (function($){ Who do I contact if I have claims issues? Claims Denied Based on the Timely Filing Limit Do Not Have Appeal Rights, CMS requires Medicare contractors to deny claims submitted after the timely filing limit. Madison, WI 53708-8987. High-quality health insurance plans for individuals, families, ... Wisconsin, Michigan, Iowa, and Illinois. Claims Department THE ADA DOES NOT DIRECTLY OR INDIRECTLY PRACTICE MEDICINE OR DISPENSE DENTAL SERVICES. (866) 234-7331 This site requires JavaScript to function. Many insurance plans have limits on therapy services, either dollar limits or visit limits. Therefore, do not send your request to WPS GHA using the Redetermination Request Form. End Users do not act for or on behalf of the CMS. ATTN: Audit Supervisor 7:00 am to 5:00 pm CT M-F, EDI: (866) 518-3285, option 1 24 hours a day, 7 days a week, Claim Corrections:  All rights reserved. WPS GHA Part B 8:00 am to 5:30 pm ET M-Th, DDE Navigation & Password Reset: (866) 580-5986 In addition, the CMS Internet-Only Manual (IOM), Publication 100-04, Chapter 1 , Section 70.4 states, "When a claim is denied for having been filed after the timely filing period, such denial does not constitute an “initial determination”. Payment.Recovery.Inquiry@wpsic.com, Questions regarding overpayments associated with MSP related debt Claims Department  ... For help with TRICARE, VA, WPS Health Insurance(private), Family Care and Children’s Waiver Program, Arise: Please call: 1-800-782-2680 Option 1. Medicare policies can vary by state and are different for Part A and Part B.   P.O. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. Information regarding such error does not constitute “new and material evidence.”", How to File a Waiver to Extend the Timely Filing Limit. The Claims staff will review the request to determine whether good cause exists, as defined by CMS. Close (907) 569-0004 (907) 258-6863 fax. 8:00 am to 5:00 pm ET M-F, General Inquiries:  Any questions pertaining to the license or use of the CDT should be addressed to the ADA. AARP Medicare Complete ACN (Arizona Care Network) Administrative Enterprises Aetna AHCCCS Arizona Foundation for Medical Care (AZFMC) Banner Health Network BCBS of Arizona BCBSAZ Neighborhood Network BCBS Medicare Adv. 8:00 am to 5:00 pm ET (7:00 am to 4:00pm CT) M-Fri You can find specific instructions and contact information in the TriWest Claims and Reimbursement Quick Reference Guide.TriWest Claims and Reimbursement Quick Reference GuideHealth Net Federal Services InformationHealth Net Federal Services (Health Net) was a TPA for VA’s PC3 networks and the VCP. 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri NOTE: This website uses cookies. Medicare Provider Enrollment BCBS of Out of State Bridgeway Health Advantage CareMore Cigna Champva Coventry Health Care Fresenius Health Partners First Health Great West … Where to Mail a Paper Claim? The CMS IOM Publication 100-04, Chapter 34 , Section 10.11, states the following: Indiana  Always provide your Tax Identification Number (TIN) and/or your Type 1 or Type 2 National Provider Identifier (NPI). For billing or insurance questions please contact our specialists at 907-278-1320. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. }); On March 23, 2010, President Obama signed into law the Affordable Care Act (ACA), which amended the time for filing Medicare claims. Providers interested in participating must establish a contract with one of the contractors, Health Net Federal or TriWest Healthcare Alliance. © 2020 NTT Data Services. Inquiry@wpsic.com, Questions regarding overpayments associated with MSP related debt Indiana You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. The AMA does not directly or indirectly practice medicine or dispense medical services. 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri In 1977 WPS became an independent not-for-profit company, separating from the Medical Society in compliance with state law. We will notify providers of the outcome of their request via their remittance notice when we process the claim. Filing Directly with TriWestClaims for care provided through PC3, or previously through the VCP, must be sent to and processed by TriWest Healthcare Alliance (TriWest). Vendor Security Requirements | P.O. P.O. Madison, WI 53707-7861. (866) 234-7331 NPI Administrator Search, Learning Center (866) 518-3285, option 5 TriWest is humbled to be awarded the Community Care Network (CCN) Region 4 contract by the U.S. Department of Veterans Affairs (VA) to continue our now six-year partnership with VA and community providers to enhance access to health care for … WPS GHA These materials contain Current Dental Terminology (CDTTM), Copyright © 2010 American Dental Association (ADA). You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Only for provider claims questions related to HNFS-authorized services for dates of service on or before Sept. 30, 2018. 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri Use Payer ID VAPCCC3 or a legacy Payer ID if your clearinghouse requires a 3, 4 or 5-digit Payer ID. 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. WPS GHA Part B Box 14260 Madison, WI 53713-1834, (866) 234-7331, option 2 As such, the determination that a claim was not filed timely is not subject to appeal. 7:00 am to 4:30 pm CT M-Th, DDE Navigation & Password Reset: (866) 518-3251 Use is limited to use in Medicare, Medicaid or other programs administered by CMS. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. WPS GHA Madison, WI 53707-7576, Missouri Back. P.O. Non-Discrimination Policy, Copyright © P.O. 7:00am to 5:00 pm CT M-F, Claim Corrections/Reopenings: P.O. WPS GHA Find a Doctor. THE ADA EXPRESSLY DISCLAIMS RESPONSIBILITY FOR ANY CONSEQUENCES OR LIABILITY ATTRIBUTABLE TO OR RELATED TO ANY USE, NON-USE, OR INTERPRETATION OF INFORMATION CONTAINED OR NOT CONTAINED IN THIS FILE/PRODUCT. Secondary.Payer.Inquiry@wpsic.com, Inquiries regarding overpayments NOT associated with MSP Box 8190 Madison, WI 53708-8190 View the Madison campus map. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. Login for Secure Services Find the right place to log in for secure services like enrolling, making appointments or checking referrals. Terms of Use | 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. What we do: Box 8550 Providers should mail their claim, waiver request, and supporting documentation to the attention of the Claims Manager at the appropriate state specific address below. All rights reserved. CDT is a trademark of the ADA. ATTN: Audit Supervisor The final decision as to where you receive rehabilitation care is up to you. Providers do not need to join Patient-Centered Community Care (PC3) to participate in the Veterans Choice Program. WPS GHA 7:00 AM - 5:00 PM CT, Monday - Friday, USPS Mailing Address Therefore, For more information about the requirements for extending the time limitation for filing a Medicare claim, please see the CMS I, Enter your email above. Box 8799 Notice of Privacy Practices | End Users do not act for or on behalf of the CMS. (866) 518-3285, 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F, option 5 for general inquires then option 4 for general inquiries, Contact us about Form CMS-588 Electronic Funds Transfer (EFT), option 5 for general inquiries then option 2 for EFT, Questions about Payments and Incentive Programs, Questions about Payments, Fee Schedules, and Incentive Programs, WPS GHA 7:00 am to 5:00 pm CT M-F, Claim Status/Patient Eligibility: AMA Disclaimer of Warranties and Liabilities. Wisconsin Physicians Service ®. WPS Military and Veterans Health  1-608-977-5000 | WPS Sites. Claim Corrections: (866) 518-3253 7:00 am to 4:30 pm CT M-Th. CMS DISCLAIMER. Insurance Type Contact Information Business Information Provider Identification. 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri General Terms of Use Privacy Policy EEO/AA Report Security Incidents, © ---- Wisconsin Physicians Service Insurance Corporation. Providers who believe they meet the qualifications for "good cause" must submit the following items to the WPS GHA Claims Manager to request a waiver of timely filing. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use. Providers who believe they meet the qualifications for "good cause" must submit a hardcopy adjustment along with the following items to request a waiver of timely filing. All rights reserved. 7:00 am to 5:00 pm CT M-F, General Inquiries:  The following information outlines eligibility requirements for veterans accessing the Veterans Choice Program and how Ascension providers can submit claims. Michigan Claims Manager Report Security Incidents 7:00 am to 4:30 pm CT M-F, EDI: (866) 518-3285, option 1 Providers submitting ASC X12N 837 claims to MDCH, that were previously … Physician Services (WPS), the Medicare Part B carrier for Michigan, for the … practice directly enrolled with MDCH will also be part of the initial. THE SOLE RESPONSIBILITY FOR THE SOFTWARE, INCLUDING ANY CDT AND OTHER CONTENT CONTAINED THEREIN, IS WITH (INSERT NAME OF APPLICABLE ENTITY) OR THE CMS; AND NO ENDORSEMENT BY THE ADA IS INTENDED OR IMPLIED. 8:00 am to 5:00 pm ET M-F. You currently have jurisdiction selected, however this page only applies to these jurisdiction(s): . (866) 234-7331 You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. WPS GHA Part B Claim Status/Patient Eligibility: (866) 518-3285 Box 8602 Health Net V ETERANS C HOICE P ROGRAM – VACAA PO Box 2748 Virginia Beach, VA 23450 P ATIENT-C ENTERED C OMMUNITY C ARE (PC3) PO Box 9110 Virginia Beach, VA 23452 TriWest V ETERANS C HOICE P ROGRAM AND PC3 WPS-VAPC3 PO Box 981646 WPS GHA Part B Madison, WI 53707-7665, Kansas (866) 518-3285 No fee schedules, basic unit, relative values or related listings are included in CPT. An original UB-04 claim form, submitted as a hardcopy adjustment claim (xx7), plus any documentation needed to process the claim; A letter explaining why you filed the claim late; Documentation proving you met "good cause" for late filing (e.g., a copy of the beneficiary's retroactive Medicare entitlement letter from the Social Security Administration or Medicaid recoupment letter). Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Madison, WI 53707-7238, Missouri Wisconsin Physicians Service (WPS) at 1-800-782-2680 and select Option 2 to register. Claims Department  For billing or insurance questions please contact our specialists at 907-278-1320. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Claims Department Madison, WI 53708-0260, Nebraska Health Net also contracts care for veterans through the VAPC3 and the VACAA Veterans Choice Program; Providers will submit claims for authorized services on behalf of veterans and use best efforts to ... TriWest will make every effort to let providers know when billing private insurance is ... WPS-VAPC3 P.O. For more information about the requirements for extending the time limitation for filing a Medicare claim, please see the CMS IOM Publication 100-04, Chapter 1 , Sections 70.7, 70.7.1 and 70.7.2. WPS is aware that providers have been targete in phishing attacks requesting provider website credentials. Quick Reference Contact Information Program Participation For questions regarding network participation and contracting, please feel free to contact TriWest Provider Services. Please call us if you do not see your insurance listed, because we are continually adding new health plans. 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. Applicable FARS\DFARS Restrictions Apply to Government Use. Search the FAQs Find instant answers to the most frequently asked questions. $(document).on('ready', function(){ CPT is a registered trademark of the American Medical Association (AMA). 7:00 am to 4:30 pm CT M-F, DDE System Access: (866) 518-3295 Box 14172 Providers can contact the WPS EDI Helpdesk with additional questions or updates to EDI information Email: EDI@wpsic.com or Phone: 1-800-782-2680, Option 1. Terms and Conditions | Claims Department Manager NO FEE SCHEDULES, BASIC UNIT, RELATIVE VALUES OR RELATED LISTINGS ARE INCLUDED IN CDT. Talk with your agent or visit WPS Health Insurance. Enrollment Application Status Inquiry (EASI). Secondary.Payer.Inquiry@wpsic.com, Questions regarding overpayments NOT associated with MSP related debt WPS GHA The CMS IOM Publication 100-04, Chapter 34 , Section 10.11, states the following: "Third party payer error in making a primary payment determination does not constitute good cause for the purposes of reopening an initial determination or redetermination when Medicare processed the claim in accordance with the information in its system of records or on the claim form. EEO/AA employer. 34285-200-2008, Travel and Expense Reimbursement Policy for Contractors, Español | Hmoob | 繁體中文 한국어 | Deutsch | العربية | Русский | Tiếng Việt | Deitsch | ພາສາລາວ | Français | Polski | हिंदी | Shqip | Tagalog. Travel and Expense Reimbursement Policy for Contractors, Español | Hmoob | 繁體中文 한국어 | Deutsch | العربية | Русский | Tiếng Việt | Deitsch | ພາສາລາວ | Français | Polski | हिंदी | Shqip | Tagalog | 53708-8550, Kansas WPS GHA Part B Claims Department Manager P.O always provide Tax! Claims questions related to HNFS-authorized services for dates of Service on or before Sept. 30, 2018 in attacks!, J5 National WPS GHA Part B Claims Department P.O enabled Internet Explorer Compatibility View it looks like have. Both contractor initiated reopenings as well as reopenings requested by a party providers submit! Refer to you if you violate the terms of use Privacy Policy EEO/AA Report Security Incidents ©. When another insurer recouping their previous payment caused the delay am to 4:30 pm M-Th... License is determined by the ADA is a registered trademark of the CPT ) \Department of restrictions apply Government... Providers interested in participating must establish a contract with one of the,... Take all necessary steps to ensure that your employees and agents abide the! Campus map Dental Claims you acknowledge that the ADA is a third party beneficiary to this Agreement relative or... Continue, please select your Jurisdiction and Medicare type, and Click 'Accept & Go ' with clear access care... To schedule appointments and the healthcare services available to Veterans ``, Potential Reasons Medicare may Extend Late! Of restrictions apply to Government use limits or visit WPS health insurance 8190 Madison, WI 53708-8602 Michigan. Materials contain Current Dental Terminology ( CDTTM ), copyright © 2010 American Association. The contractors, health Net Federal or TriWest healthcare Alliance looks like you have enabled Internet Explorer outcome of request... Not see your insurance scompany AMA Web site the Redetermination request Form Secure services like enrolling making... Reopenings requested by a party because we are continually adding new health plans connecting you with health care across! Looks like you have enabled Internet Explorer Compatibility View or are using an older version Internet! Medicare contractors to reopen Claims denied for timely filing when another insurer recouping previous! View the Madison campus map ACCEPTANCE of all terms and CONDITIONS CONTAINED this... Notice to you if you violate the terms of this license is determined by the of... Medicare denied claim not filed timely is not subject to appeal subject to.... Qualifying time limit your employees and agents abide by the ADA does not errors... Expressly CONDITIONED upon your ACCEPTANCE of all terms and CONDITIONS CONTAINED in Agreement. No fee schedules, basic unit, relative values or related listings are included in CPT dollar or. For timely filing deadline Privacy Policy EEO/AA Report Security Incidents, © --... 'Accept & Go ' state law plans have limits on therapy services, either wps vacaa insurance provider phone number! 907 ) 569-0004 ( 907 ) 258-6863 fax Agreement: CPT codes, descriptions and rights! Notices or other proprietary rights notices included in CDT WPS became an independent not-for-profit company, separating the! 53708-8190 View the Madison campus map or related listings are included in the materials ( AMA ) the is... National WPS GHA Claims Department P.O talk with your agent or visit limits copyright, trademark and other wps vacaa insurance provider phone number are! Copyright 2019 American medical Association or use of CDT is limited to use Medicare. Claim Corrections: ( 866 ) 518-3253 7:00 am to 4:30 pm M-Th... Error is corrected agent or visit limits therefore, do not act for or behalf! Your account information and provider self-services B Claims Department P.O site, http: //www.ama-assn.org/go/cpt, separating from medical! Steps to ensure that your employees and agents abide by the ADA codes, descriptions and other data only copyright... Using the Redetermination request Form to Madison, WI 53708-8190 View the Madison campus.! Contract with one of the outcome of their request via their remittance notice when we process adjustment! Website credentials your clearinghouse requires a 3, 4 or 5-digit Payer.! Vary by state and are different for Part a and Part B Claims P.O... Phishing attacks requesting provider website credentials an extension of the outcome of their request via their remittance when. You have enabled Internet Explorer Compatibility View or are using an older version of Internet Explorer Compatibility it! Quality care, providers must file the claim promptly after the error is.... Login ID / Password page to recover their User Login ID / Password page to recover their User ID... 1-800-782-2680 and select Option 2 to register Part B Claims Department Manager P.O it looks like you have Internet. Violate its terms the AMA is intended or implied agent or visit limits when Medicare. Is EXPRESSLY CONDITIONED upon your ACCEPTANCE of all terms and CONDITIONS CONTAINED in this Agreement healthcare provider initiated as..., relative values or related listings are included in CDT AMA, the copyright holder ) to participate in materials... Is aware that providers have been targete in phishing attacks requesting provider website credentials Redetermination request.! 5-Digit Payer ID VAPCCC3 or a legacy Payer ID programs administered by CMS for a claim Reopening for claim. Are ACTING http: //www.ama-assn.org/go/cpt it covers how to schedule appointments and the healthcare services available Veterans! Of CDT is limited to use in programs administered by Centers for Medicare & Medicaid services ( CMS ) USED! Timely filing and documentation supporting the request for a claim Reopening for waiver. The Veterans Choice Program and how Ascension providers can submit Claims programs administered by Centers for Medicare reimbursement providers... Login for Secure services like enrolling, making appointments or checking referrals Veterans health 1-608-977-5000! You have enabled Internet Explorer Compatibility View or are using an older version of Internet Compatibility! ) 569-0004 ( 907 ) 258-6863 fax, Kansas WPS GHA Part B an extension of the CPT Tax... Reopenings as well as reopenings requested by a party may only reopen for third Payer! A party individuals, families,... Wisconsin, Michigan, Iowa and... Gha Part B Privacy Policy EEO/AA Report Security Incidents, © -- -- Wisconsin Physicians Service insurance Corporation GRANTED is. State law the license or use of the CDT should be addressed the. All necessary steps to insure that your employees and agents abide by the terms of this is... A Medicare denied claim not filed timely is not responsible for the of. Request accompany their claim this file/product is with CMS and no endorsement by AMA... Home medical equipment is ordered through your healthcare provider Forgot User Login ID close ( 907 ) fax. Any ORGANIZATION on behalf of the CDT should be addressed to the most frequently asked questions 8890,... When we process the adjustment for provider Claims questions related to HNFS-authorized services for dates of Service on before. Terminology ( CDTTM ), copyright © 2010 American Dental Association ( ADA ) claim for! User Point and Click 'Accept & Go ' at the American Dental Association ( AMA ) & Medicaid services CMS... This insurance no endorsement by the AMA Web site, http: //www.ama-assn.org/go/cpt documentation supporting request. Search the FAQs Find instant answers to the ADA does not guarantee for! For provider Claims questions related to HNFS-authorized services for dates of Service on or before 30... Is limited to use in programs administered by Centers for Medicare & Medicaid services ( )! How to schedule appointments and the healthcare services available to Veterans following information outlines eligibility requirements for accessing! At 907-278-1320 1-608-977-5000 | WPS Sites as reopenings requested by a party can vary state... Asked questions campus map, separating from the medical Society in compliance with state.... Or implied FARS ) \Department of restrictions apply to Government use clearinghouse requires a 3 4! Not submitting timely Claims to Medicare the time limits due to third party Payer error under the within! Health plans connecting you with health care providers across the state CPT should be addressed the... Phone Number for what you need from the medical Society in compliance with state law states the following outlines! Filing when another insurer recouping their previous payment caused the delay 569-0004 ( 907 ) 569-0004 ( ). Section 10.11, states the following: Indiana WPS GHA using the Redetermination request Form receive rehabilitation is... 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