WPS Health Insurance
medicalvision
Summary
WPS Health Insurance is a medical and vision payer. Claims route under payer ID WPS01, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
WPS01Also seen as 12X29- Also known as
- Health Solutions, WPS, Wisconsin Commercial, Wisconsin Physicians Service Commercial
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) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Required | A few days |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for WPS Health Insurance?
- The payer ID for WPS Health Insurance is WPS01. Alternate IDs seen across clearinghouses include 12X29.
- Does WPS Health Insurance require ERA enrollment?
- Yes. WPS Health Insurance requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What types of coverage does WPS Health Insurance offer?
- WPS Health Insurance covers medical and vision.
- Can I submit claims to WPS Health Insurance electronically?
- Yes. WPS Health Insurance is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
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 Spot something out of date?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.