SolAce Electronic Medical Claims - Medicare

J5 WPS: Nebraska Medicare

cneely — Fri, 23 Feb 2018 18:03:55 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Nebraska. If you are a provider located in Jurisdiction 5 and need to become an electronic submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.

WPS recently implemented their new WPS EDI Express Enrollment Self-Service tool for Trading Partner enrollment and management. This will allow you to create your own account, register your line of business and transactions, and retrieve and submit agreements.

EDI Enrollment

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider

- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - At least 15 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
  - If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Once you have completed the enrollment steps outlined above and have your Submitter ID, Community Manager Login ID, and Community Manager Password, please call ClaimShuttle at 602-439-2525 to complete the mailbox setup and test submission. Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Once testing is complete, the "Line of Business/Transaction Production Approval Form" must be completed in order to obtain production approval. We will assist you with completing and submitting this form once the test batch has been submitted.

You will receive an email within 3-5 business days stating whether production approval has been granted or denied. Once you have been granted production approval you will need to contact your ClaimShuttle Support Representative so they can finish the setup and assist with your first production batch. If you have any issues with enrollment for claims or remits please feel free to give us a call at 602-439-2525. You can also reach out to WPS directly at 1-866-518-3285.

Page Category:

Direct

Medicare

J8 WPS: Michigan Medicare

cneely — Fri, 23 Feb 2018 17:54:27 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 8, which includes Michigan. If you are a provider located in Jurisdiction 8 and need to become an electronic Submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.

Initial Enrollment (Claims)

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider

- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
- You can only register for one transaction at a time. We recommend starting with claims, then going back later to turn on remits (835's)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - Exactly 9 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your SolAce representative after you finish registration
- If you do not get the subsequent email, please call SolAce for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- The screen will now display your Trading Partner ID. Please write this down to give to your SolAce representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
On the EDI Registration Summary page, if you want to also sign up for Electronic Remittance Advice (ERA's), click "Add Transaction"
- Select 5010 835 Remit Outbound
- Re-enter your company's Tax ID and Billing/Group NPI
- Enter today's date for the effective date then press "Next"
- Click "Use this Data
Please check the box to "Agree", then Sign, and e-sign the agreement
If you have added multiple transactions you will need to repeat this step
Once done, check the boxes next to "I agree" then press "Done>> Sign Selected Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Once you have completed the enrollment steps outlined above and have your Submitter ID, Community Manager Login ID, and Community Manager Password, please call SolAce at 602-439-2525 to complete the mailbox setup and test submission. Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Page Category:

Direct

Medicare

J8 WPS: Indiana Medicare

cneely — Fri, 23 Feb 2018 17:52:45 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 8, which includes Indiana. If you are a provider located in Jurisdiction 8 and need to become an electronic Submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.

Initial Enrollment (Claims)

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider

- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
- You can only register for one transaction at a time. We recommend starting with claims, then going back later to turn on remits (835's)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - At least 15 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your SolAce representative after you finish registration
- If you do not get the subsequent email, please call SolAce for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- The screen will now display your Trading Partner ID. Please write this down to give to your SolAce representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
On the EDI Registration Summary page, if you want to also sign up for Electronic Remittance Advice (ERA's), click "Add Transaction"
- Select 5010 835 Remit Outbound
- Re-enter your company's Tax ID and Billing/Group NPI
- Enter today's date for the effective date then press "Next"
- Click "Use this Data
Please check the box to "Agree", then Sign, and e-sign the agreement
If you have added multiple transactions you will need to repeat this step
Once done, check the boxes next to "I agree" then press "Done>> Sign Selected Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Page Category:

Direct

Medicare

J5 WPS: Missouri Medicare

cneely — Fri, 23 Feb 2018 17:51:29 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Missouri. If you are a provider located in Jurisdiction 5 and need to become an electronic Submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.

EDI Enrollment

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider

- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - At least 15 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
  - If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Page Category:

Direct

Medicare

J5 WPS: Kansas Medicare

cneely — Fri, 23 Feb 2018 17:49:59 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Kansas. If you are a provider located in Jurisdiction 5 and need to become an electronic Submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.

EDI Enrollment

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider

- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - At least 15 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
  - If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Page Category:

Direct

Medicare

J5 WPS: Iowa Medicare

cneely — Fri, 23 Feb 2018 17:47:40 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Iowa. If you are a provider located in Jurisdiction 5 and need to become an electronic Submitter for your Medicare A/B claims, please follow the enrollment instructions listed below.

EDI Enrollment

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider

- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - Exactly 9 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
  - If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Page Category:

Direct

Medicare

J5 National/WPS Legacy

cneely — Fri, 23 Feb 2018 17:44:19 +0000

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Legacy Providers. If you are a provider located in Jurisdiction 5 and need to become an electronic Submitter for your Legacy claims, please follow the enrollment instructions listed below.

EDI Enrollment

Please click the following link to begin registration: https://www.wpshealth.com/resources/provider-resources/edi/enrollment.shtml

Click "Enroll", click the CAPTCHA then press "Continue"
Click "Enroll Now" under Providers if you are a healthcare provider
- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - At least 15 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
  - If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

Page Category:

Direct

Medicare

Tricare For Life: WPS

cneely — Tue, 21 May 2013 21:07:38 +0000

Please follow the Enrollment Instructions below to become an electronic submitter Tricare for Life, via WPS.

EDI Enrollment

Please click the following link to begin registration: https://edi.wpsic.com/edir/home

Click "Enroll Now" under Providers if you are a healthcare provider
- If you are a Billing Service please give us a call at 602-439-2525 for assistance registering
Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)
Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)
On the next screen, please select "I Don't use a clearinghouse/billing agency"
Click "Register Now" to begin registration for a WPS Community Manager account
On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"
In the new tab that opens, please click "Start Registering"
Next, please enter your company name with no unnecessary symbols (exclude commas and periods)
Please enter your email address
Enter the Captcha displayed for security purposes then click "Next"
On the following screen please enter your company address, phone, fax and email
Do not enter anything for web URL
Please enter the primary legal and support contact information then press "Next" to continue
For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"
Review the Registration Summary for accuracy then click "Confirm and Submit"
You should receive an email confirming they have received your request and it is pending approval
- Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager
- Please click the link and set your password with the following requirements:
  - At least 15 characters long with at least one upper case, lower case, a number and a symbol
  - Please keep this information as it will need to be given to your ClaimShuttle representative after you finish registration
  - If you do not get the subsequent email, please call ClaimShuttle for assistance setting your Community Manager Password
You can now go back to EDI Express enrollment to finish registration
Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"
- If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"
If necessary, re-enter the email and press "Continue Enrollment"
Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info
On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement
Electronically sign the agreement by entering your name and pressing "Sign Agreement"
On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"
- It will now display your Trading Partner ID. Please write this down to give to your ClaimShuttle representative during setup/testing
Next, check the box for your Jurisdiction/Line of business
Please press Continue on the Mock Agreements screen
Please re-enter your Tax ID and Group/Billing NPI
- No need to enter rendering NPI's, only the Group/Billing is required
Please enter Contact, Business, and Mailing information then press "Next"
Once done check the boxe(s) next to "I Agree" then press "Done>> Sign Select Agreements"
Click "Complete and Submit" on the right to submit your entire application
Please click "No Thanks, I'm Done" once your submission is complete

Electronic Remittance Advice (835's)

If you need electronic remittance advice, please call WPS directly for assistance completing the form as it can only be obtained via their Provider portal which we do not have access to.

Testing

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Direct

Medicare

JJ Palmetto GBA: Alabama Medicare

cneely — Thu, 31 Jan 2013 15:05:35 +0000

Palmetto GBA administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction J, which includes the state of Alabama. If you are a provider located in the state of Alabama and need to become an electronic submitter for your Medicare A/B claims, please follow the instructions below.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the Palmetto office prior to initiation of electronic claims submission or inquiry.

1. Palmetto GBA EDI Enrollment Packet

If the link above does not work properly, please download this packet from the website by going here:

https://www.palmettogba.com/

Choose one of the Jurisdiction J links under Topics choose EDI, then EDI Enrollment

If you have any questions regarding any of the documents in this package, please phone the Palmetto EDI Technology Support Center at 1-877-567-7271.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name - AXIOM Systems, Inc.

Contact - EDI Team

Vendor Code - VS4148 for J1, JJ, and J11 Part A

VBJ0070 for J1, JJ, and J11 Part B

VR1158 for Railroad Medicare

Phone - 602-439-2525

Fax - 602-439-0808

Address - 241 East 4th Street, Suite 200
Frederick, MD 21701

Software Name - SolAce EMC

E-mail - Support@SolAce-emc.com

EDI Application

Select your Line of Business
New Applicants, please choose “Apply for New Submitter ID”
New Applicants, please leave the Submitter ID and Receiver ID line blank
Please enter today's date
Enter your company or provider name as Submitter Name
Please enter the name of the owner of your company
If you are applying for your OWN Submitter ID please select “Provider”
If you are a Billing Service, please select “Billing Service”
Complete the EDI contact person section with your information
Report Response Format: choose File
Data compression: choose PKZIP
Name of Software Vendor: Axiom Systems Inc.
- Vendor ID: Please see table above
For Network Service Vendor please enter ClaimShuttle by Axiom Systems
Please complete the "Providers for Whom Submitter Will be Transmitting” with your Provider’s information and choose the following options:
- Enrollment Form Attached: Yes
- Provider Authorization Form Attached: Yes (If you are a provider billing through a Billing Service, otherwise leave blank)
- Mark: Submit claims, Receive Reports, Receive Electronic Remittances
- If you want to apply for a separate ID for the online FISS/DDE service also select “Online Inquiry Services” (Part A providers only)

Medicare Electronic Data Interchange Enrollment Agreement

Each provider must complete Section C. of this form and enter his/her Medicare Provider number and NPI.

Provider Authorization Form

Providers who wish to authorize a Billing Service the authority to submit claims electronically on their behalf would fill out this form, if not please skip.

Select the proper Line of Business
Indicate the type of service(s) you are authorizing the Submitter (billing service) to access
Enter the Provider’s name for which the form is being completed
Note: The name must match the name submitted on the CMS 855 Medicare Enrollment Application
Please enter the Providers Tax ID
Please provide the Providers Email address for all EDI notifications
List the Providers PTAN, a separate Provider Authorization form is required for each PTAN
Enter the Provider’s NPI
List the name and title of the person Palmetto will contact for questions regarding this form
Enter the demographic information of the Provider
Enter the name of the Submitter you are authorizing (billing service/clearinghouse)
The Provider must sign and date the application

If you marked off the “Online Inquiry Services” option on the forms above, please complete the DDE Enrollment Form. Otherwise, you may also skip this entire section.

Part A Providers are required to have access to the DDE System. If you need a Network Service Vendor that will provide the connection for your FISS/DDE access please ask us about our ClaimShuttle service! We can have you logged in to your FISS/DDE screens in no time!

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records.

Submit the enrollment forms reflecting original signatures to:

Part A Fax: 803-870-0163

Part B Fax: 803-870-0164

Part A Email: EDIEnroll.PartA@PalmettoGBA.com

Part B Email: EDIEnroll.PartB@PalmettoGBA.com

It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take up to twenty business days from the date of receipt.

After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after 20 business days, contact Palmetto EDI Technology Support Center at 1-877-567-7271.

Testing

Once you have received your Submitter ID and password from Palmetto, please call the SolAce Support Team at 602-439-2525 and set an appointment for a Mailbox setup and Test Transmission to Palmetto.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

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Direct

Medicare

Durable Medical Equipment: DME

solace_admin — Tue, 30 Oct 2012 15:16:21 +0000

NGS CEDI is the contracted receiver for all DME electronic claims processed by the four DME MAC’s. Click on the link to the right for NGS and then please complete and submit the online forms. Upon submission please print and fax them to the number listed.

Page Category:

Medicare