wps patient portal

What is the WPS provider portal?

WPS offers affordable Medicare Supplement Insurance Plans, Prescription Drug Plans, Individual & Family Health Insurance, Short-Term Health Insurance Plans and Group Health Insurance Plans.

How do I contact WPS Health Insurance?

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654.

How do I download the latest version of the wps portal?

Reminder: To register for access to the provider portal, you need the following information from two of your remittances from the past 90 days: Claim number. EFT/check number. Remittance date. Amount of the remittance. Our customers (members/participants) depend on you for top-quality health care, which is why WPS works closely with providers ...

What if I don't have an account for the wps portal?

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Where is the WPS portal user manual?

You can access the manual by selecting the WPS Government Health Administrators Portal User Manual link found in the blue footer of every wpsgha.com web page.

Who is authorized to use CPT?

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents .

Is CPT a warranty?

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT.

Is CPT copyrighted?

End User Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).

How to Verify Patient Eligibility

Medicare requires providers use self-service technology for inquiries regarding patient eligibility. Our call center staff is not able to respond to these inquiries. Providers can use the WPS Government Health Administrators Portal or our Interactive Voice Response (IVR) system to verify patient eligibility.

Checking Eligibility for Qualified Medicare Beneficiaries (QMB)

When using the portal or IVR to check eligibility, you will not receive information regarding Medicare applied deductible or coinsurance for patients in the QMB program. The portal will return information explaining the patient is part of the QMB program. For more information on the QMB program, see Qualified Medicare Beneficiary (QMB) Program.

Medicare Secondary Payer (MSP) and Eligibility

Although we process Medicare Secondary Payer (MSP) claims, we do not maintain MSP records. The Benefits Coordination & Recovery Center (BCRC) is responsible for establishing MSP occurrence records on the Common Working File (CWF).

Provider Portal Overview

The WPS provider portal is your resource for quick, convenient access to customer and claim information. The portal is designed to provide real-time access to the following:

Do you need to register?

Administrators: If this is your first visit to our new, secure provider portal, you will need to create a new account. If you’re a provider with an existing account, please log in using your established credentials. If you have forgotten your user ID or password, please use the link provided on the login page.