WPS Health Solutions wants you to know that your TRICARE For Life claims can be submitted electronically directly to WPS. While most TRICARE For Life claims are electronically crossed over from Medicare, some are not - including situations such as the beneficiary having a Medicare Advantage Plan. We also understand that provider's practice management systems/software require claim submission in certain situations (i.e. if claim payments are not received within a certain number of days etc.). When these situations occur, WPS encourages you to take advantage of the benefits of electronic claim submission.
If you are a non-Medicare certified provider, you can continue to submit your claims electronically through our online Internet claim entry application when logged into your account at www.tricare4u.com.
Electronic Funds Transfer (EFT) is also available for TRICARE For Life. EFT replaces the paper checks you currently receive for TRICARE For Life claim payments. When you enroll in EFT, you will need to receive your Explanation of Benefits (EOB) data through either Electronic Remittance Advice (ERA) or our TRICARE4u website, as your paper EOBs will cease 45 days after EFT activation. If you wish to begin using EFT it will be necessary to complete an online EFT electronic form with WPS. Once the completed agreement form is received, WPS will complete the pre-note process with your bank to ensure a problem-free conversion to EFT for your office. WPS encourages your office to take advantage of the benefits that EFT offers.
Electronic Remittance Advice (ERA) is also available for TRICARE For Life. When you choose to receive Electronic Remittance Advice or ERA, your files will be sent to you in the ANSI (American National Standards Institute) X12 835 format (version 5010A1) and can be downloaded from the WPS Bulletin Board System (BBS), or through our secured Internet site.
If you are interested in learning more about TRICARE For Life EDI claim submission, ERA and EFT, please contact us at 1-800-782-2680, option 1 for the EDI Help Desk, option 2 for the EDI Marketing staff, or visit our EDI Enrollment page.
**WPS Bulletin Board System and MOVEit Gateway has been discontinued
Effective Nov. 22, 2019, the WPS Bulletin Board System (BBS) and the MOVEit Gateway will be discontinued. All trading partners will need to be transitioned to WPS Community Manager and transmit/receive files using WPS Gateway Express.
If you currently submit/receive transmissions using the BBS or MOVEit tools, you will need to change how you connect. Please visit the EDI page for additional details at https://www.wpshealth.com/resources/provider-resources/edi/edi-news/1907-wps-bulletin-board-system-discontinued.shtml