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Do you have your National Provider Identifier (NPI)?
- If you do not yet have an NPI: Click here for more information
- If you have not shared your NPI with WPS: Email the following information to: edinpi@wpsic.com
Name, NPI Number, Tax ID, License Number, and Contact Information.
- Questions? Please contact EDI at 1-800-782-2680 (option 2), or visit the EDI area
How to Register
- Please download, fill out and return the WPS Internet Website User Agreement.
- If you are a Medicare Part B Provider: Please refer to the Medicare Part B website.
How to Become a WPS Preferred Provider
New WPS Provider Newsletter Now Available
The latest issue of the WPS Provider Newsletter is now available for download, and includes the following:
- Health care reform and preventive health services
- Value-Based Benefi t Design: an innovative strategy that links quality and cost
- Policy updates
- Sign up now for electronic prior authorization
- Forms
- In memory
New for 2010
When using your username and password to view your provider account you will see a helpful addition. We now provide an on-line tool for you to simulate code combinations with the ability to view and edit results and rationales.
You will be able to enter procedure codes, modifiers, diagnosis codes, date of service, patient gender, date of birth and place of service parameters, in order to review results specific to the procedure codes being queried.
The results and rationale will be displayed and can be downloaded as a PDF. This allows greater transparency of the code combinations being utilized at WPS.
Please contact us with any feedback and suggestions you have at 800-765-4977.
FAQ for WI Autism Spectrum Disorder Mandate:
Note: the following links will open a PDF document in a new window:
-
Are you an Autism Qualified Provider?
Please refer to the Ins 3.36, Wis Adm. Code – EmR0923 -
Do
you need to be Certified yet as an Autism Qualified Provider?
Please download, fill out and return the WPS Professional Staff Update Notification form. -
Has the service level for your
patient been determined? (Intensive vs. Non-intensive)
Please download, fill out and return the Autism Spectrum Progress Report form. -
Do you need to know the approved providers/facilities
by DHS?
Review the document: DHS Approved Providers List
Providers listed do not guarantee In-network status, please check your directory for preferred status. -
Do you need to review a sample claim form for billing: Testing & Screening; Intensive Services; Non-intensive Services?
Review the sample claim forms: - If you need further directions for completion of claim form HCFA CMS-1500, see these instructions.
