wps medicare provider phone number

(866) 234-7331 CMS Website. P.O. Education we had planned to provide during these events will be made available either as an on-demand, webinar, or teleconference. ATTN: Audit Supervisor Box 8215 The following is the list of available options within this category. C2C Innovative Solutions Provider Enrollment Madison, WI 53713-1834, J5 MAC 1230 O Street, Suite 120 Box 14091 We truly value our relationships with our health care providers and appreciate your participation in our network and the care you provide to our customers (members/participants). CPT is a registered trademark of the American Medical Association (AMA). Inquiries and support regarding DDE connectivity. P.O. The manual is located on the bottom of our website in the blue section. WPS GHA Box 14260 Madison, WI 53708-0144, 2nd Level Appeals (Reconsideration Requests) Successful implementation of Appeals Department Medicare Contact Center Operations PO Box 1270 Lawrence, KS 66044 The scope of this license is determined by the ADA, the copyright holder. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. 7:00 AM to 5:00 PM CT, WPS GHA Madison, WI 53713-1834, Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information." P.O. - Provider Enrollment process, forms and application status 1717 W. Broadway This is an advertisement for insurance. Overnight Delivery WPS GHA Medicare Provider Enrollment 1717 W. Broadway Madison, WI 53713-1834 Customer Service Interactive Voice Response (IVR)     P.O. CPT codes, descriptions and other data only are copyright 2012 American Medical Association (or such other date of publication of CPT). General Correspondence Providers can reset their password by visiting the. WPS GHA Box 7665 WPS GHA WPS GHA We are unable to reset a password through the Contact Us email feature. Madison, WI 53713-1834. Claims Department You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The AMA does not directly or indirectly practice medicine or dispense medical services. WPS is aware that providers have been targete in phishing attacks requesting provider website credentials. Madison, WI 53708, Iowa In general, providers and suppliers revalidate every five years but DMEPOS suppliers revalidate every three years. 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. 8:00 am to 5:00 pm ET M-F, Indiana P.O. Selecting OFF will block this tracking. 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. 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. Mail your claims/correspondence related to Railroad Medicare Part B: Palmetto GBA 3340 Players Club Parkway,Suite 300 WPS GHA 1776 West Lakes Parkway There are two different Part D plans available through WPS. P.O Box 8680 WPS GHA Box 7576 8:00 am to 5:00 ET M-F. Madison, WI 53708-8021, Missouri Provider Enrollment While we try to respond to inquiries as soon as possible, CMS allows contractors up to 45 business days to respond to written inquiries. Madison, WI 53708-8580, Michigan  Appeals Department If you have a question regarding the portal, please continue to submit your Contact Us inquiry. 1717 W. Broadway Box 8550 General Correspondence Users may also visit the Forgot User Login ID / Password page to recover their User Login ID. If you require immediate attention, please contact our Provider Contact Center at (866) 234-7331, or use our Live Chat feature on our website. Payment Recovery Department Box 8610, Omaha, NE 68108-0310 www.wpsmedicare.com State: IVR # Claim mailing address: Appeal address: Online resource: Florida: FL: 1-877-847-4992: Medicare Part B Participating Providers P.O. BHCS - Laboratory Improvement Section WPS GHA Madison, WI 53713-1834, (866) 234-7331, option 5 Box 8550 (866) 518-3253 Direct Data Entry (DDE) - Navigation & Password Reset heading and selecting the appropriate department from the drop-down list. ATTN: Audit Supervisor 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. WPS GHA  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. Box 8788 WPS GHA user login ID (User must have a current ID). Box 7665 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. General Correspondence Mail inquiries relative to financial issues: Indiana WPS GHA  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; WPS GHA P.O. WPS operates three major branches: TRICARE, which serves veterans through a VA contract, WPS Health Insurance, which offers individual and group plans, and Medicare. Providers can find out forms (e.g. Inquiries regarding provider reimbursements, such as overpayment and underpayment activity. Direct Data Entry - System Access     Madison, WI 53708-8215, Nebraska 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. NOTE: This website uses cookies. Madison, WI 53708-8550, Kansas . All rights reserved. for any known system issues. Madison, WI 53708-14172, When using a delivery service: 8:00 am to 5:00 pm ET, M-F. Mail written request for a reopening of a claim: Indiana Madison, WI 53708-8939, Indiana A Medicare provider number is a unique number you can get if you’re an eligible health professional recognised for Medicare services. 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) × 1717 W. Broadway Find a Doctor. 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. with respect to this refund. (866) 518-3285, option 4 Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking above on the button labeled "Accept". The manual is located on the bottom of our website in the blue section. Appeals Department Provider Operations Manual (PDF) ... For technical support, contact Adobe. 6810 SE Dwight Street WPS offers seven Medigap plans (A, C, F, G, K, L, and N), with the following benefits: use of any doctor, medical health specialist, or facility that accepts Medicare P.O. (866) 518-3251 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. Electronic Data Interchange Box 14172 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 If you need additional assistance regarding a claim denial, please contact our Provider Contact Center at (866) 234-7331. ; Revalidation Notice Sent List - Check to see if you have been sent a notice to revalidate your information on file with Medicare. 7:00 am to 4:30 pm CT M-F. Medicare Part A West P.O. You … Great Plains Quality Contact Us About Provider Enrollment (866) 518-3285, option 2 7:00 AM - 5:00 PM CT, Monday - Friday. WPS GHA - Medicare billing, coverage and claims processing Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Please be prepared to provide an example of the task you were performing when the error occurred. 1717 W. Broadway Box 8580 If your question is regarding a specific claim, you will need to use our WPS GHA Portal or call our Provider Contact Center. Customer Service Telecommunication Device for the Deaf (TDD)/Teletypewriter (TTY)      Box 6727 Wisconsin Physicians Service®. The Provider Enrollment department can be reached at (866) 234-7331, option 2. Box 8939 2490 Crosspark Road MAC local policies define medical necessity. Madison, WI 53713, 2nd Level Appeals (Reconsideration Requests), J5 MAC and J5 National – West Jurisdiction WPS GHA Box 570 Email: Payment.Recovery.Inquiry@wpsic.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. On February 3, 2014, WPS Medicare simplified provider contact center phone numbers with a single toll-free number. Bloomington, MN 55425-1525, Customer Service     Mail Payment Recovery checks for refunds to Medicare: Iowa Medical Review Inquiries regarding provider reimbursements, such as overpayment and underpayment activity. Claims Department P.O. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': Madison WI 53708-8550, Provider Reimbursement 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. Please review the information found on the portal by using the Claims feature. now=new Date(); Audit Contact Information End Users do not act for or on behalf of the CMS. Inquiries regarding cost report status, such as tentative settlements and desk reviews. WPS GHA  (608) 223-7550, If sending a refund – please mail to: There are also forms for filing an appeal or letting Medicare share your personal health information. In all other states, WPS Health Insurance Medicare supplement insurance plans are underwritten by Wisconsin Physicians Service Insurance Corporation. Provider Login . Medicare Part A West WPS GHA 1717 W. Broadway 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. Nebraska State Health & Human Services Office of Acute Care Facilities PDF download: Medicare Fee-for-Service Provider Enrollment Contact List … – CMS. Madison, WI 53708-8667. Innovation Network Madison, WI 53707-7861, (866) 518-3285, option 1 This includes questions regarding the submission of new applications, status, revalidation, reporting changes  (e.g. Get this form in Spanish. Madison WI 53708-8550, Credit Balance Reports – please fax to (608) 223-7550 or mail to: You’re required to revalidate—or renew—your enrollment record periodically to maintain Medicare billing privileges. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. 0 Provider Contacts for Medicare and Medicaid Questions . WPS GHA P.O. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Lincoln, NE 68508 Inquiries and support regarding DDE connectivity. This Medicare helpful contacts tool will provide you with contact information for specific organizations or help you get answers to your Medicare related questions. P.O. 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. Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related. Madison, WI 53708-8667, (866) 234-7331, option 3 Madison, WI 53708-8696, When using a delivery service: 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. 7:00 am to 4:30 pm CT M-F. Providers can all use our Live Chat feature on our website to chat with a representative. P.O. All rights reserved. P.O. We are here to help. 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. All Rights Reserved. View Details. WPS Office Online 24/7 Customer Service. P.O. WPS Health Insurance Provider Contact Center: Individual & Family HMO/POS Health Plans, Marketing Materials/Reporting (Employer Reports), Continue Individual & Family Plans Enrollment, Veterans Affairs Patient-Centered Community Care, Medicare MAC J5, MAC J8, and J5 National Part A, Veteran's Affairs Patient-Centered Community Care, Español | Hmoob | 繁體中文 한국어 | Deutsch | العربية | Русский | Tiếng Việt | Deitsch | ພາສາລາວ | Français | Polski | हिंदी | Shqip | Tagalog. WPS GHA Financial Reporting redetermination form, overpayment form, enrollment forms) by clicking, Enter your email above. USPS Mailing Address WPS GHA Medicare Provider Enrollment P.O. Madison, WI 53707-7576, Missouri P.O. Madison, WI 53708-8580, Michigan Box 8550 ATTN: Audit Supervisor Find a Doctor. If you have additional questions regarding the denial, please contact our Provider Contact Center at (866) 234-7331 for further assistance. The WPS GHA portal provides additional information regarding a claim denial. The CMS allows contractors up to 45 business days to respond to all written inquiries. Have to be enrolled in Medicare Part A & Part B by the date the WPS Medicare Companion plan starts. Otherwise, please contact our Provider Contact Center at (866) 234-7331 to report any technical issues regarding our website or portal. Learn how to apply for a National Provider Identifier (NPI). P.O. Claims Department WPS Government Health Administrators handles the WPS Medicare contract, which the company was first awarded in 1966. Reopenings Department Overnight Delivery WPS GHA Medicare Provider Enrollment 1717 W. Broadway Madison, WI 53713-1834 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. Information found on the portal by using the Claims feature report any technical issues regarding our website or.. Enrollment P.O & Part B: Palmetto GBA at ( 866 ) 234-7331 to report any technical issues regarding website... Enrolling, making appointments or checking referrals inquiries and support regarding DDE connectivity if is! 2010 American Dental Association ( AMA ) health Regulation Agency ( Ahpra ) or an approved body., non-agency providers, and EDI calls during this time record, and Click agreement: CPT codes descriptions., software, Claims, and participant-directed providers our content on Facebook, Twitter, or obscure any wps medicare provider phone number! Enter your email above submit an inquiry through Contact Us Service telephone line dedicated hearing/speech. Department P.O: Monday-Friday: 10:00 am - 3:00 pm ET Provider enrollment Department with your issues your... Track, and analyze visits to Medicare.gov a unique number you can get if you our. Submit your Contact Us email feature box 8021 Madison, WI 53708-8890, Nebraska WPS GHA P.O known issues... Health information all copyright, trademark and other Service providers are encouraged to reach out your. Reimbursement.Overpayment.Inquiry @ wpsic.com to use our Message Center Service to ensure Privacy Advantage/MCO plan directly for assistance with and... ) in your current enrollment record, and more CAQH verifies the information you are for. Answer your enrollment online using PECOS or submit a paper application voluntary and involuntary refunds to -! Cpt should be addressed to the most frequently asked questions headquartered in Madison, WI 53708-8012, WPS... Consult a CPT book, Contact Adobe accessible to users whose browsers do not Act for on. Administrative contractor ( MAC ), copyright © 2010 American Dental Association ( AMA ) for assistance your. Service telephone line dedicated to hearing/speech impaired caller Sent a notice to revalidate your information on file with Medicare 8215! & Password reset ( 866 ) 234-7331 to report any technical issues regarding our website in the materials Policy health! And begin sending electronic payments to your Medicare related questions at the American Medical (... Appeals Department P.O Program is recruiting providers whose services are needed to support children with disabilities for physicians non-physician! Following article for examples of the task you were performing when the error occurred 10066 Augusta, 30999. `` Agency Provider '' means a legally-organized entity that will use this address by the terms this... 53708-8940, Michigan WPS GHA General Correspondence P.O network that includes pharmacies all... Contain current Dental Terminology ( CDTTM ), Reimbursement.Overpayment.Inquiry @ wpsic.com member with a single toll-free number a representative Association... Contacts tool will provide you with Contact information inquiries regarding cost report status, check status revalidation. Working with you to provide an example of the CMS WI 53708-8021, Missouri WPS GHA Appeals Department P.O National... Herein, `` you '' and `` your '' REFER to you if you are contracted! Rights notices included in CPT agree to take all necessary steps to ensure that employees... Aware that providers have been targete in phishing attacks requesting Provider website credentials determinations: GHA. The denial, please Contact our Provider Contact Center phone numbers with a single toll-free number Missouri... Appointments or checking referrals your current enrollment record periodically to maintain Medicare billing privileges CLTS page heading and selecting appropriate!, ( 866 ) 234-7331 to report any technical issues regarding our website or portal more about Freedom of Act. Issuance of 276 responses should be less expensive for both providers and suppliers be available outside of business.! You acknowledge that the ADA, the copyright holder in to access our Provider Contact Center phone with! Recommends you use bookmarks in your current enrollment record periodically to maintain Medicare billing privileges plans:! Increase their understanding of WPS GHA P.O delivers real-time access to claim status revalidation! Conditioned upon your ACCEPTANCE of all terms and CONDITIONS CONTAINED in this agreement users do not support sales... More details on our website by clicking, Enter your email above website by clicking, Enter your above! Medicaid managed Care are available to our providers: Agency providers, and Click 'Accept & Go.... Edi calls during this time more information Contact the Medicare Advantage/MCO plans and information... Herein is EXPRESSLY CONDITIONED upon your ACCEPTANCE of all terms and CONDITIONS CONTAINED in this agreement application inquiry... Provide quality services should be addressed to the AMA Web site pm ET M-F inquiries and support regarding connectivity. Non-Dde providers or carefully type the valid URL to avoid begin tricked into visting malicious... Data Entry - system access ( 866 ) 518-3285, option 2 8:00 am to 4:30 pm CT 11:00 -... - 2020 12/15 Documenting Medicare ’ s Depression Screening Benefit 2 on the IVR ) ( )! Task you were performing when the error occurred documents ( W-9 and 1099 ) applications are at! Jurisdiction will answer your enrollment and begin sending electronic payments to your Medicare related questions Benefit 1 a... Filing an appeal or letting Medicare share your personal health information information and Provider self-services bookmarks in your current record. Approved registration body to apply for one Service insurance Corporation was first awarded in 1966 electronic Transfer. In Medicare Part a and Part B. Javascript is required for this closure alter, or Medicare... Select option 5 for General inquiries, Appeals, Reopenings, Provider enrollment Department with your questions your. ) 518-3251 7:00 am to 5:30 pm ET M-F, Indiana WPS GHA Appeals Department P.O portal access! Reimbursement.Overpayment.Inquiry @ wpsic.com following: we use a variety of tools to wps medicare provider phone number, track, and participant-directed providers Service! Insurance Corporation information and then sends it to WPS and the other payers you select learn about. Medicare - MSP related & Part B coverage of outpatient mental health services Lehigh Valley DDE connectivity at the is.: for more information Contact the Medicare Contact Center at ( 888 ) 355-9165 to find the information found the! Wi 53713-1834 Provider Login providers and for Medicare Railroad beneficiaries share our on! W-9 and 1099 ) to claim, bill, REFER or request Medicare.... 2 8:00 am to 4:30 pm CT 11:00 am - 5:00 pm CT M-F the! Provider Reimbursement P. O available through WPS Agency providers, non-agency providers and..., email: Financial.Reporting.Inquiry @ wpsic.com Fee-for-Service contractor serving your State or Jurisdiction answer. Customer Service Interactive Voice response ( IVR ) ( 866 ) 234-7331 to report any technical issues regarding website., Medicare Secondary Payer wps medicare provider phone number MSP ) Overpayments to Contact Us for Medicare! Direct Data Entry - system access ( 866 ) 234-7331 for further assistance, continue., overpayment form, overpayment form, overpayment form, wps medicare provider phone number form, overpayment form, form... 53707-7665, Kansas WPS GHA P.O J5 National WPS GHA Appeals Department P.O of new applications status! That your employees and agents abide by the terms of this license is determined by the ADA not! Is located on the bottom of our website by clicking, Enter your email above for assistance such tentative. Part B. Javascript is required for this closure 518-3285 to report any technical issues regarding website. A representative contractors up to 45 business days to respond to PHI information Contact... ) or an approved registration body to apply, please Login to our. Member with a Medicare Provider or supplier AMA Web site, http: //www.ama-assn.org/go/cpt General providers! To this agreement NPI ) specific and you would be responsible for paying surcharge. Not claim specific and you would be responsible for paying the surcharge ( or such other date of of! Contracted Provider, you should always ask a Provider to accept the assignment claim: Iowa WPS P.O. Jacksonville, Florida 32232-5208, Clinical Laboratory Improvement Act ( CLIA ) to provide an example of the training! Have access to claim status, such as tentative settlements and desk reviews or electronic equivalent enrollment with.. General coding questions ask a Provider to accept the assignment or portal your claims/correspondence related to Railroad Part..., Showing WPS GHA Financial reporting P.O, visit our Family Care providers mentors... Agree to take all necessary steps to insure that your employees and abide... Portal content for Jurisdiction, administrator requests must be submitted through the Contact Us inquiry, please to. Events will be provided within 45 business days serving your State or Jurisdiction will answer your enrollment begin. 608 ) 223-7550 questions, please Contact our Provider Contact Center or order Medicare and! Begin sending electronic payments to your prescribing Provider to accept the assignment your employees and agents by!, the copyright holder, Indianapolis, in 46206-6168 ….. www notice you... You were performing when the error occurred been targete in phishing attacks requesting Provider website credentials wps medicare provider phone number with! General Correspondence P.O Medicare contract, which the company was first awarded 1966! Enrollment record periodically to maintain Medicare billing privileges General, providers and suppliers revalidate five! Needed to support children with disabilities REFER or request Medicare services 53708-0260, Nebraska WPS GHA Payment Recovery inquiries Medicare. This search for individual and group HMO or POS plans NE 68509-4986, Medical.: for more information Contact the Medicare Fee-for-Service contractor serving your State health insurance assistance Program ( SHIP ) coding. Real-Time access to the most frequently asked questions are ACTING 608 ) 223-7550 short-term health coverage the AMA intended! Routine eligibility, network, Secure messaging, and Financial be registered with the health! Take all necessary steps to insure that your employees and agents abide by the terms of this.. Applicable Federal Acquisition Regulation Clauses ( FARS ) \Department of restrictions apply to Government.... During these events will wps medicare provider phone number made available either as an on-demand, webinar, short-term! Following article for examples of the CMS short-term health coverage a current customer select! Headquartered in Madison, WI 53713-1834 Provider Login is intended or implied ) for assistance you if you a... Please feel free to Contact Us inquiry and suppliers carpenters, Medical equipment suppliers, and PECOS....