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WPS Health Plan

dentalmedicalvision

Summary

WPS Health Plan is a dental, medical, and vision payer operating in Illinois and Wisconsin. Claims route under payer ID 39185, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, and professional claims.

At a glance

Payer ID
39185Also seen as 10868, 11181, 95937, ARISE, WPS
Also known as
Arise Health Plan, WPS Optum Health, Wisconsin Physicians Service Health Plan
Service area
IL, WI

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate

Common questions

What is the payer ID for WPS Health Plan?
The payer ID for WPS Health Plan is 39185. Alternate IDs seen across clearinghouses include 10868, 11181, 95937, ARISE.
What states does WPS Health Plan cover?
WPS Health Plan operates in IL, WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does WPS Health Plan offer?
WPS Health Plan covers dental, medical, and vision.
Can I submit claims to WPS Health Plan electronically?
Yes. WPS Health Plan is reachable through clearinghouses for eligibility checks, claim status inquiries, and professional claims. Electronic claims are supported for professional (837P).

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 Spot something out of date?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.