What is the payer ID for Medicare Wisconsin Part B?

The payer ID for Medicare Wisconsin Part B is 06302. Alternate IDs seen across clearinghouses include 1434, 2288, JSMWI0, SMWI0.

How long does Medicare Wisconsin Part B provider enrollment take?

Medicare Wisconsin Part B provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Medicare Wisconsin Part B require CAQH?

No. Medicare Wisconsin Part B does not use CAQH. Applications go through its own enrollment process.

Does Medicare Wisconsin Part B require ERA enrollment?

Yes. Medicare Wisconsin Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicare Wisconsin Part B cover?

Medicare Wisconsin Part B operates in J5: IA, KS, MO, NE | J8: IN, MI. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Medicare Wisconsin Part B

Part of WPS Health Solutions

Government programdentalmedical

Typical enrollment turnaround

45-65 days

Summary

Medicare Wisconsin Part B is a government program, administered by WPS Health Solutions, offering dental and medical coverage operating in 8 states. Claims route under payer ID 06302, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-65 days, with applications through WPS Medicare Portal, and CAQH is not used. Through clearinghouses it supports eligibility checks, professional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 06302Also seen as 1434, 2288, JSMWI0, SMWI0, WIMCR
Also known as: Wisconsin Medicare, Wisconsin Physicians Service (WPS) - Wisconsin
Uses CAQH: NoApplication route: Payer's own application
Service area: J5: IA, KS, MO, NE | J8: IN, MI

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Transaction	Enrollment	Typical setup
Eligibility checks (270/271)	Required	Same day
Professional claims (837P)	Required	Several weeks
ERA / remittance (835)	Required	Several weeks

Common questions

What is the payer ID for Medicare Wisconsin Part B?: The payer ID for Medicare Wisconsin Part B is 06302. Alternate IDs seen across clearinghouses include 1434, 2288, JSMWI0, SMWI0.
How long does Medicare Wisconsin Part B provider enrollment take?: Medicare Wisconsin Part B provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Medicare Wisconsin Part B require CAQH?: No. Medicare Wisconsin Part B does not use CAQH. Applications go through its own enrollment process.
Does Medicare Wisconsin Part B require ERA enrollment?: Yes. Medicare Wisconsin Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare Wisconsin Part B cover?: Medicare Wisconsin Part B operates in J5: IA, KS, MO, NE | J8: IN, MI. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.