Appeals
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Iowa
WPS GHA
Appeals Department
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
Appeals Department
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
Appeals Department
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
Appeals Department
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
Appeals Department
P.O. Box 7861
Madison, WI 53707-7861
When using a delivery service:
WPS GHA
Appeals Department
1717 West Broadway
Madison, WI 53713
2nd Level Appeals (Reconsideration Requests)
J5 MAC and J5 National – West Jurisdiction
(Washington, Idaho, Montana, North Dakota, South Dakota, Iowa, Missouri, Kansas, Nebraska, Wyoming, Utah, Arizona, Nevada, California, Alaska, Hawaii, Oregon, Kentucky, Ohio, Indiana, Illinois, Minnesota, Michigan, Wisconsin, Guam, Northern Mariana Islands, and American Samoa)
Maximus Federal Services
Medicare Part A West
3750 Monroe Ave, Ste 706
Pittsford, NY 14534-1302
J5 National – East Jurisdiction
(Colorado, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Florida, Tennessee, South Carolina, North Carolina, Virginia, West Virginia, Puerto Rico, Virgin Islands, Main, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, New York, Delaware, Maryland, Pennsylvania, and Washington DC)
C2C Innovative Solutions
PO Box 45305
Jacksonville, FL 32232-5305
Audit
Audit Contact Information
Inquiries regarding cost report status, such as tentative settlements and desk reviews.
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 8696
Madison, WI 53708-8696
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Claims Processing - Claims Submission
Mail your paper claims:
Iowa
WPS GHA
Claims Department
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
Claims Department
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
Claims Department
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
Claims Department
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
Claims Department
P.O. Box 7861
Madison, WI 53707-7861
Electronic Data Interchange (EDI)
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Mail EDI forms:
WPS GHA
Electronic Data Interchange
1717 W Broadway
Madison, WI 53713-1834
Medical Review (MR)
Mail requested medical records:
J5 MAC
WPS GHA
Medical Review
P.O. Box 7953
Madison, WI 53707-7953
J5 National
WPS GHA
Medical Review
PO Box 7957
Madison, WI 53707-7957
When using a delivery service:
WPS GHA
Medical Review
1717 W. Broadway
Madison, WI 53713-1834
Medical Review Fax: (608)223-7553
Mail checks for workshop programs:
WPS GHA – J5
Attn: WPS GHA Finance-Admin
P.O. Box 8696
Madison, WI 53708-8696
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 518-3285
7:00 AM to 5:00 PM CT
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W Broadway
Madison, WI 53713-1834
Claims Correction
(866) 518-3253
7:00 am to 4:30 pm CT
M-Th Closed Friday
Support to claims correction functions for Non-DDE providers.
Customer Service
(866) 518-3285
7:00 am to 5:00 pm CTM-F
Mail general correspondence related to Medicare:
Iowa
WPS GHA
General Correspondence
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
General Correspondence
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
General Correspondence
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
General Correspondence
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
General Correspondence
P.O. Box 7861
Madison, WI 53707-7861
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please Include your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Iowa
WPS GHA
General Correspondence
P.O. Box 7665
Madison, WI 53707-7665
Kansas
WPS GHA
General Correspondence
P.O. Box 7576
Madison, WI 53707-7576
Missouri
WPS GHA
General Correspondence
P.O. Box 8890
Madison, WI 53708-8890
Nebraska
WPS GHA
General Correspondence
P.O. Box 8799
Madison, WI 53708-8799
J5 National
WPS GHA
General Correspondence
P.O. Box 7861
Madison, WI 53707-7861
Customer Service Interactive Voice Response (IVR)
(866) 518-3285
24 hours a day,7 days a week
Inquiries for general information, routine eligibility, claim status, check status, and remittance information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
IVR Operating Guide.
Customer Service - Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY)
(866) 518-3293
7:00 am to 5:00 pm CTM-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Direct Data Entry (DDE) -Navigation & Password Reset
(866) 518-3251
7:00 am to 4:30 pm CTM-F
Password resets and navigating the DDE online system.
Direct Data Entry -System Access
(866) 518-3295
7:00 am to 4:30 pm CTM-F
Inquiries and support regarding DDE connectivity.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O. Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA)
Freedom of Information (FOI)
(866) 518-3285
7:00 am to 5:00 pm CTM-F
Fax: (608) 327-8512
Email:WPSMedicareFOIA@wpsic.com
Mail requests to Freedom of Information
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 14091
Madison, WI 53708-0091
Medicare Secondary Payer (MSP) Overpayments
Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related.
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Email:Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to: (608) 223-7550
If sending a refund- please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Provider Reimbursem*nt
Inquiries regarding provider reimbursem*nts, such as overpayment and underpayment activity.
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Email: Reimbursem*nt.Overpayment.Inquiry@wpsic.com
Mail checks for which you have received a demand letter:
WPS GHA
Financial Department
P.O. Box 8788
Madison, WI 53708-8788
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713-1834
Mail checks for voluntary refunds:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
Mail inquiries relating to overpayment and underpayment determinations:
WPS GHA
Provider Reimbursem*nt
P.O. Box 8696
Madison, WI 53708-8696
When using a delivery service:
WPS GHA
1717 West Broadway
Madison, WI 53713-1834
Credit Balance Reports
Inquiries and support for Credit Balance Reports Form CMS-838
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Submit Credit Balance Reports Form CMS-838 online using our portal. Select the “Login/Register” button above.
Or submit to:
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
(Do not submit PHI/PII through email)
Mail:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713
Claim Corrections/Reopenings
Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions
(866) 518-3285
7:00 am to 5:00 pm CT, M-F
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Mail requests for a written reopening of a claim:
Iowa
WPS GHA
Reopenings Department
P.O. Box 8550
Madison, WI 53708
Kansas
WPS GHA
Reopenings Department
P.O. Box 7238
Madison, WI 53707
Missouri
WPS GHA
Reopenings Department
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
Reopenings Department
P.O. Box 8667
Madison, WI 53708
Mail your paper claims:
Iowa
WPS GHA
Claims Department
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
Claims Department
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
Claims Department
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
Claims Department
P.O. Box 8667
Madison, WI 53708-8667
Mail checks for workshop programs:
WPS GHA – J5
Attn: WPS GHA Finance-Admin
P.O. Box 8696
Madison, WI 53708-8696
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 518-3285
7:00 am to 5:00 pm CT, M-F
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Appeals
(866) 518-3285
7:00 am to 5:00 pm CTM-F
Mail written requests for a redetermination of claim, not related to an overpayment:
Iowa
WPS GHA
Appeals Department
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
Appeals Department
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
Appeals Department
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
Appeals Department
P.O. Box 8667
Madison, WI 53708-8667
Mail request for a written redetermination of an overpayment decision:
WPS GHA
Appeals Department
P.O. Box 14144
Madison, WI 53708-0144
2nd Level Appeals (Reconsideration Requests)
C2C Innovative Solutions, Inc. - QIC Part B North
P.O. Box 45208
Jacksonville, Florida 32232-5208
Clinical Laboratory Improvement Act (CLIA)
Mail your requests for CLIA certificate information and related inquiries:
Iowa
Iowa CLIA Laboratory Program
State Hygienic Laboratory
University of Iowa Research Park
2490 Crosspark Road
Coralville, IA 52241
Kansas
Kansas Department of Health & Environment
CLIA Laboratory Certification
6810 SE Dwight Street
Topeka, KS 66620
Missouri
Missouri CLIA Laboratory Program
P.O. Box 570
Jefferson City, MO 65102-0570
Nebraska
Nebraska State Health & Human Services
Licensure Unit-Division of Public Health
Office of Acute Care Facilities
P.O. Box 94986
Lincoln, NE 68509-4986
Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Mail your DME claims/correspondence
Noridian Administrative Services
P.O. Box 6727
Fargo, ND 58108-6727
Electronic Data Interchange (EDI)
Support for EDI systems, software, claims, and financial.
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Quality Improvement Organization (QIO)
Mail your quality of care concerns, file an appeal or complaint, questions regarding hospital patient rights:
Beneficiary and Family Centered QIO (BFCC-QIO)
KEPRO QIO - Area 4
5201 W. Kennedy Blvd,Suite 900
Tampa, FL 33609
Mail inquiries relative to quality initiatives to improve patient safety, reduce harm, or improve clinical care:
Quality Innovation Network QIO (QIN-QIO)
Iowa
Telligen
1776 West Lakes Parkway
West Des Moines, Iowa 50266
Kansas
Great Plains Quality Innovation Network
1230 O Street, Suite 120
Lincoln, NE 68508
Missouri
TMF
5918 West Courtyard Drive
Austin, TX 78730-5036
Nebraska
Great Plains Quality
Innovation Network
1230 O Street, Suite 120
Lincoln, NE 68508
Railroad Medicare
Mail your claims/correspondence related to Railroad Medicare Part B:
Palmetto GBA
Railroad Medicare - Part B
P.O. Box 10066
Augusta, GA 30999
Customer Service
(866) 518-3285
7:00 am to 5:00 pm CTM-F
Mail general correspondence related to Medicare:
Iowa
WPS GHA
General Correspondence
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
General Correspondence
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
General Correspondence
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
General Correspondence
P.O. Box 8667
Madison, WI 53708-8667
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Iowa
WPS GHA
General Correspondence
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
General Correspondence
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
General Correspondence
P.O. Box 14260
Madison, WI 53708-0260
Nebraska
WPS GHA
General Correspondence
P.O. Box 8667
Madison, WI 53708-8667
Customer Service Interactive Voice Response (IVR)
(866) 518-3285
24 hours a day,7 days a week
Inquiries for general information, routine eligibility, claim status, check status and deductible information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
IVR Operating Guide
Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY)
(866) 518-3293
7:00 am to 5:00 pm CTM-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA)
Freedom of Information (FOI)
(866) 518-3285
7:00 am to 5:00 pm CTM-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests to Freedom of Information:
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 8788
Madison, WI 53708-8788
Medicare Secondary Payer (MSP) Overpayments
Assistancewith questions and concerns regarding overpayment activities associated with MSP related debt.
(866) 518-3285
7:00 am to 5:00 pm CT M-Fri
Fax: (608)223-7550
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to:
(608) 223-7550
If sending a refund – please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Overpayment Fax Line
(608) 223-7550
24 hours a day,
7 days a week This fax line is available for accepting completed General Inquiries, Immediate Recoupment Forms, and Overpayment Notification Forms related to MSP and Non-MSP.
Payment Recovery
Inquiries regarding voluntary and involuntary refunds.
(866) 518-3285
7:00 am to 5:00 pm CT M-F
Fax: (608) 223-7550
Email: Payment.Recovery.Inquiry@wpsic.com
Mail Payment Recovery checks for refunds to Medicare:
Iowa
WPS GHA
P.O. Box 8012
Madison, WI 53708-8012
Kansas
WPS GHA
P.O. Box 8021
Madison, WI 53708-8021
Missouri
WPS GHA
P.O. Box 8215
Madison, WI 53708-8215
Nebraska
WPS GHA
P.O. Box 8762
Madison, WI 53708-8762
Mail Payment Recovery inquiries to Medicare:
Iowa
WPS GHA
P.O. Box 8550
Madison, WI 53708-8550
Kansas
WPS GHA
P.O. Box 7238
Madison, WI 53707-7238
Missouri
WPS GHA
P.O. Box 14260
Madison, WI 53707-0260
Nebraska
WPS GHA
P.O. Box 8667
Madison, WI 53708-8667
Appeals
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail requests for a written redetermination of claim:
Indiana
WPS GHA
Appeals Department
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
Appeals Department
P.O. Box 8604
Madison, WI 53708-8604
2nd Level Appeals (Reconsideration Requests)
Maximus Federal Services
Medicare Part A West
3750 Monroe Ave, Ste 706
Pittsford, NY 14534-1302
Mail your paper claims:
Indiana
WPS GHA
Claims Department
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
Claims Department
P.O. Box 8604
Madison, WI 53708-8604
Electronic Data Interchange (EDI)
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail EDI forms:
WPS GHA
Electronic Data Interchange
1717 W Broadway
Madison, WI 53713-1834
Mail requested medical records for medical review:
WPS GHA
Medical Review
P.O. Box 7954
Madison, WI 53707-7954
When using a delivery service:
WPS GHA
Medical Review
1717 W. Broadway
Madison, WI 53713-1834
Fax: (608)224-3508
Mail checks for workshop programs:
WPS GHA – J8
Attn: WPS GHA Finance-Admin
P.O. Box 14172
Madison, WI 53708-0172
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 234-7331
8:00 AM - 5:00 PM ET
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W Broadway
Madison, WI 53713-1834
Audit
Audit Contact Information
Inquiries regarding cost report status, such as tentative settlements and desk reviews.
Mail audit materials:
WPS GHA
ATTN: Audit Supervisor
P.O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
Claims Correction
(866) 580-5980
8:00 am to 5:30 pm ET
M-Th, Closed Friday
Support to claims correction functions for Non-DDE providers.
Customer Service
(866) 234-7331
8:00 am to 5:00 pm ETM-F
Indiana
WPS GHA
General Correspondence
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
General Correspondence
P.O. Box 8604
Madison, WI 53708-8604
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Appeals process and activities
- Privacy practices
Please Include your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available.
Indiana
WPS GHA
General Correspondence
P.O. Box 8602
Madison, WI 53708-8602
Michigan
WPS GHA
General Correspondence
P.O. Box 8604
Madison, WI 53708-8604
Customer Service Interactive Voice Response (IVR)
(866) 234-7331
24 hours a day, 7 days a week
Inquiries for general information, routine eligibility, claim status, check status, and remittance information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
IVR Operating Guide
Customer Service Telecommunication Device for the Deaf (TDD)/Teletypewriter (TTY)
(855) 474-0049
8:00 am to 5:00 pm ETM-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Direct Data Entry (DDE) -Navigation & Password Reset
(866) 580-5986
8:00 am to 5:30 pm ETM-F
Assistance navigating the DDE online system and tips for password resets.
Direct Data Entry -System Access
(866) 518-3295
8:00 am to 5:30 ETM-F
Inquiries and support regarding DDE connectivity.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588 Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O. Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about Freedom of Information Act (FOIA)
Freedom of Information (FOI)
(866) 234-7331
8:00 am to 5:00 pm ETM-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests for Freedom of Information:
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 14091
Madison, WI 53708-0091
Medicare Secondary Payer (MSP) Overpayments
Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related.
(866) 234-7331
8:00 am to 5:00 pm ET M-Fri
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to: (608) 223-7550
If sending a refund – please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Provider Reimbursem*nt
Inquiries regarding provider reimbursem*nts, such as overpayment and underpayment activity.
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri
Email: Reimbursem*nt.Overpayment.Inquiry@wpsic.com
Mail checks for which you have received a demand letter:
WPS GHA
Financial Department
P.O. Box 8788
Madison, WI 53708-8788
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713-1834
Mail checks for voluntary refunds:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
Mail inquiries relating to overpayment and underpayment determinations:
WPS GHA
Provider Reimbursem*nt
P. O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
WPS GHA
1717 W. Broadway
Madison, WI 53713-1834
Credit Balance Reports
Inquiries and support for Credit Balance Reports Form CMS-838
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Submit Credit Balance Reports Form CMS-838 online using our portal. Select the “Login/Register” button above.
Or submit to:
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
(Do not submit PHI/PII through email)
Mail:
WPS GHA
Financial Department
P.O. Box 8550
Madison, WI 53708-8550
When using a delivery service:
WPS GHA
Financial Department
1717 W. Broadway
Madison, WI 53713
Claim Corrections/Reopenings
Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions
(866) 234-7331
8:00 am to 5:00 pm ET, M-F
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Mail written request for a reopening of a claim:
Indiana
WPS GHA
Reopening Department
PO Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
Reopening Department
PO Box 8939
Madison, WI 53708-8939
Paper Claim Submission
Mail your paper claims:
Indiana
WPS GHA
Claims Department
P.O. Box 8940
Madison, WI 53708-8940
Michigan
WPS GHA
Claims Department
P.O. Box 8987
Madison, WI 53708-8987
Workshop Checks
Mail checks for workshop programs:
WPS GHA – J8
Attn: WPS GHA Finance-Admin
P.O. Box 14172
Madison, WI 53708-0172
Provider Enrollment
“Who should I call?” Provider Enrollment Assistance Guide
(866) 234-7331
8:00 am to 5:00 pm ET, M-F
Fax Number: (608) 224-3514
Mail enrollment materials:
WPS GHA
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
When using a delivery service:
WPS GHA
Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
Appeals
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Mail written requests for a redetermination of claim:
Indiana
WPS GHA
Appeals Department
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
Appeals Department
P.O. Box 8939
Madison, WI 53708-8939
2nd Level Appeals (Reconsideration Requests)
C2C Innovative Solutions, Inc. - QIC Part B North
P.O. Box 45208
Jacksonville, Florida 32232-5208
Clinical Laboratory Improvement Act (CLIA)
Mail your requests for CLIA certificate information and related inquiries:
Indiana
Indiana Department of Public Health
Division of Acute Care Services
2 North Meridian Street, Room 4A
Indianapolis, IN 46204
Michigan
Michigan Department of Licensing and Regulatory Affairs (LARA)
BHCS - Laboratory Improvement Section
P.O. Box 30664
Lansing, MI 48909
Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Mail your DME claims/correspondence:
CGS
Jurisdiction B DME MAC
P.O. Box 20007
Nashville, TN 37202
Electronic Data Interchange (EDI)
Support for EDI systems, software, claims, and financial.
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Quality Improvement Organization (QIO)
Mail your quality of care concerns, file an appeal or complaint, questions regarding hospital patient rights:
Beneficiary and Family Centered QIO (BFCC-QIO)
KEPRO QIO - Area 4
5201 W. Kennedy Blvd,Suite 900
Tampa, FL 33609
Mail inquiries relative to quality initiatives to improve patient safety, reduce harm, or improve clinical care:
Quality Innovation Network QIO (QIN-QIO)
Indiana
Atom Alliance
3340 Players Club Parkway,Suite 300
Memphis, TN 38125
Michigan
Lake Superior Quality
Innovation Network
2901 Metro Drive, Suite 400
Bloomington, MN 55425-1525
Railroad Medicare
Mail your claims/correspondence related to Railroad Medicare Part B:
Palmetto GBA
Railroad Medicare - Part B
P.O. Box 10066
Augusta, GA 30999
Customer Service
(866) 234-7331
8:00 am to 5:00 pm ETM-F
Mail general correspondence related to Medicare:
Indiana
WPS GHA
General Correspondence
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
General Correspondence
P.O. Box 8939
Madison, WI 53708-8939
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Inquiries related to:
- Medicare billing, coverage and claims processing
- EDI support for EDI systems, software, claims, and financial
- Provider Enrollment process, forms and application status
- Privacy practices
Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available.
Indiana
WPS GHA
General Correspondence
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
General Correspondence
P.O. Box 8939
Madison, WI 53708-8939
Customer Service Interactive Voice Response (IVR)
(866) 234-7331
24 hours a day, 7 days a week
Inquiries for general information, routine eligibility, claim status, check status and deductible information. Some menu options are dependent on claims processing system availability and may not be available outside of business hours.
IVR Operating Guide
Customer Service Telecommunications Device for the Deaf (TDD)/Teletypewriter (TTY)
(855) 474-0049
8:00 am to 5:00 ETM-F
Customer Service telephone line dedicated to hearing/speech impaired caller.
Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099).
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 223-7560
Email: Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form:
WPS GHA
Financial Reporting
P.O Box 8680
Madison, WI 53708-8680
When using a delivery service:
WPS GHA
Financial Reporting
1717 W. Broadway
Madison, WI 53713
Learn more about FreedomofInformationAct(FOIA).
Freedom of Information (FOI)
(866) 234-7331
8:00 am to 5:00 pm ETM-F
Fax: (608) 327-8512
Email: WPSMedicareFOIA@wpsic.com
Mail requests to Freedom of Information:
WPS GHA
Freedom of Information Act (FOIA)
P.O. Box 8788
Madison, WI 53708-8788
Medicare Secondary Payer (MSP) Overpayments
Assistancewithquestions andconcernsregarding overpayment activities associated with MSP related debt.
(866) 234-7331
8:00 am to 5:00 pm ET M-Fri
Fax: (608) 223-7550
Email: Secondary.Payer.Inquiry@wpsic.com
Overpayment Notification/Refund Form – If overpayment notification only, please fax to:
(608) 223-7550
If sending a refund – please mail to:
WPS GHA
PO Box 8550
Madison WI 53708-8550
Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to:
WPS GHA
PO Box 8550,
Madison WI 53708-8550
Overpayment Fax Line
(608) 224-3515
24 hours a day,
7 days a week This fax line is available for accepting completed General Inquiries, Immediate Recoupment Forms, and Overpayment Notification Forms related to MSP and Non-MSP.
Payment Recovery
Inquiries regarding voluntary and involuntary refunds.
(866) 234-7331
8:00 am to 5:00 pm ET M-F
Fax: (608) 224-3515
Email: Payment.Recovery.Inquiry@wpsic.com
Mail checks for refunds:
Indiana
WPS GHA
Payment Recovery Department
P.O. Box 8002
Madison, WI 53708-8002
Michigan
WPS GHA
Payment Recovery Department
P.O. Box 8064
Madison, WI 53708-8064
Mail inquiries relative to financial issues:
Indiana
WPS GHA
Payment Recovery Department
P.O. Box 8580
Madison, WI 53708-8580
Michigan
WPS GHA
Payment Recovery Department
P.O. Box 8939
Madison, WI 53708-8939
