Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes Legacy Providers. If you are a provider located in Jurisdiction 5 and need to become an electronic Submitter for your Legacy claims, please follow the enrollment instructions listed below.

The following document is a required enrollment form that must be completed, signed and returned to the MCC of VA office prior to initiation of electronic claims submission or inquiry.

1.https://mccofva.com/media/1531/ebusiness-submitter-profile-form-fill_mccva.pdf

If the link above does not work properly, please download it from here:

Please complete the following enrollment instructions if you wish to submit electronic claims directly to HMA (Payer ID 86066)

In order to send electronic claims to HMA, you must obtain a Login and Password for this site: www.hcrdata.com

Please follow the Enrollment Instructions below to become an electronic submitter for Washington State Department of Labor & Industries (LNI).

Please follow the enrollment instructions below to become an electronic submitter to West Virginia Medicaid.

Please Note: Our connection to WV Medicaid cannot be scripted due to their EDI system’s website structure therefore, once your EDI file has been generated, you will need to upload and download your files manually. We will be glad to walk you through this process.

Users who wish to submit direct to WV Medicaid must sign up for the WV Portal by following the instructions in this document:

Please follow the Enrollment Instructions below to become an electronic submitter for Highmark Payer IDs: 54828, 71768,

Please follow the Enrollment Instructions below to become an electronic submitter for Highmark.

Highmark Blue Cross Blue Shield has different enrollment applications for their various Payer IDs. Please see the links on the right hand side and follow the enrollment instructions for the plans you need to submit electronic claims to. 

Blue Cross Blue Shield submissions and ERA retrieval is now only available via the Availity Clearinghouse (as of February 2018). Please click this link to access the instructions for enrolling with Availity. If you have any questions, please call us at 602-439-2525.

Please follow the instructions below to submit your WellCare Health Plan claims through Administep

To add a mailbox for the Administep Clearinghouse please send an email to support@solace-emc.com

Include the following in your message:

To EDI Team,

Please add a mailbox to my account for the Administep Clearinghouse:

Name:

TAX ID:

Billing Professional or Institutional claims?:

We will contact you once we are ready to set up your mailbox in SolAce.