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Claims

The Claims section is designed to help providers and billing staff with the Medicare claims processing system. The Claims homepage provides a general overview and is applicable to all types of providers. For provider specialty specific information, be sure to view additional Resoures in the "Provider Specialties/Services" section of our website.

Please use the Quick Links below or left side navigation to explore the information you are seeking:

Claims Submission

Before submitting your claim, find out what documentation is required, medical necessity guidelines, and other resources WPS Medicare has available to assist you in submitting clean, timely and functional claims which will save you time.

Claim Processing

Submitting a claim is the first step, but following the claim is also important. WPS Medicare has several articles, tools and resources available to provide guidance on various claim scenarios.

Claims Status

After your claim has been submitted, find out what tools WPS Medicare has available for you to review the status of the claim.

Denials and Rejections

Preventing claim denials is important; find out common mistakes and errors and ways to prevent them before the claim is sent back.

Page Last Updated: Tuesday, 31-Jan-2012 08:28:15 CST