WPS Health Insurance
dentalmedicalvision
Summary
WPS Health Insurance is a dental, medical, and vision payer operating in Wisconsin. Claims route under payer ID SX022, with 8 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
SX022Also seen as 10878, 2136, 2900, 4457, A2185, CMFSN and 2 more- Also known as
- Wisconsin Physicians Service Group Health / WPS, Wisconsin Physicians Service Insurance Corporation
- Service area
- WI
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 |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Required | Several weeks |
| Institutional claims (837I) | Required | Several weeks |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for WPS Health Insurance?
- The payer ID for WPS Health Insurance is SX022. Alternate IDs seen across clearinghouses include 10878, 2136, 2900, 4457.
- 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 hours.
- What states does WPS Health Insurance cover?
- WPS Health Insurance operates in WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does WPS Health Insurance offer?
- WPS Health Insurance covers dental, medical, and vision.
- Can I submit claims to WPS Health Insurance electronically?
- Yes. WPS Health Insurance is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Related payers
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 Spot something out of date?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.