The WPS Provider Portal is a comprehensive digital platform designed to streamline healthcare provider interactions, offering real-time access to critical information and services. This secure online tool enables healthcare professionals to efficiently manage patient-related tasks and administrative processes.
Official Links
- Provider Portal Login: https://my.wpshealth.com/en/provider
- WPS Providers Page: https://www.wpshealth.com/providers/
What Providers Can Do
Healthcare professionals using the WPS Provider Portal can access:
- Real-time claim status information
- Patient eligibility verification
- Network details
- Secure messaging
- Provider demographics management
Access and Login
How to Log In
- Visit the provider portal website
- Enter your User ID
- Input your Password
- Click “Login”
Registration Process
For first-time users, registration requires:
- Two remittance documents from the past 90 days
- Specific details including:
- Claim number
- EFT/check number
- Remittance date
- Remittance amount
Support and Assistance
Provider Contact Information
- WPS Provider Contact Center: 800-765-4977
- Hours: Monday–Friday, 7:30 a.m. to 5 p.m. CT
- WPS Clinical Services: 800-333-5003
Key Features
The portal delivers comprehensive services including:
- Electronic Data Interchange (EDI)
- iExchange® system
- Medical policy access
- Prior authorization lists
- Reimbursement policy information
Privacy and Security
WPS emphasizes robust security measures:
- Secure login process
- Protected personal and patient information
- Compliance with healthcare data protection standards
Important Updates
Electronic Payment Changes
Effective September 11, 2023:
- WPS transitioning to Zelis for electronic payments
- Providers must enroll in Zelis Payment Network
- Contact Zelis Provider Enrollment: 855-496-1571
System Requirements
- Recommended: Adobe Reader for viewing PDF documents
- Compatible with standard web browsers
Unspecified Details
Some specific details about mobile app availability, advanced portal features, or comprehensive login troubleshooting were not explicitly provided in the source documents.
The WPS Provider Portal represents a crucial digital tool for healthcare providers, offering streamlined access to essential administrative and patient-related services with a focus on efficiency and security.
Additional Resources
- Provider Network Information
- Medical Policy Documents
- Prior Authorization Lists
- Provider Manual
Contact Information
For further assistance:
- Provider Contact Center: 800-765-4977
- General Support: Contact via WPS website
Note: This information is based on available documentation from WPS Health Insurance as of the current date.
FAQ
Is WPS the same as Tricare?WPS administers the TRICARE For Life program. Your TRICARE For Life claims may be submitted electronically.
What is a WPS portal?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: Claim status. Eligibility. Network.
Is WPS Medicare or Medicaid?WPS Government Health Administrators (WPS GHA) has served Medicare beneficiaries since 1966, providing over 50 years of service to the Centers for Medicare & Medicaid Services (CMS) and the Medicare program. Our mission is to provide service and value considered by our customers to be the very best.
What does WPS mean in healthcare?After World War II, more than 300,000 soldiers—13,000 of them wounded—returned home to Wisconsin, shining a light on the need for affordable health insurance. Wisconsin Physicians Service (WPS) was formed by the Wisconsin Medical Society in 1946 to meet these challenges.
https://my.wpshealth.com/en/provider
Provider Login. Login here to access your account information and provider self-services. OK. Icon user User ID. Icon eye off Password.
https://www.wpshealth.com/providers/
You can log in to access our provider portal. The portal delivers real-time access to claim status, eligibility, network, secure messaging, and more.