Electronic Data Interchange (EDI)

Home MAC Provider EDI

Visit the WPS Corporate Site for all of your Electronic Data Interchange (EDI) needs. There you will find:

  • EDI Software, such as PC-Ace Pro 32 and Medicare Remit Easy Print (MREP)
  • EDI enrollment documents/forms
  • Companion documents and crosswalks
  • Acceptable claim types and formats
  • WPS Bulletin Board System (BBS)
  • EDI News

Important Tips for J5 implementation

  • If you currently receive X12 835 electronic remittance files today, you will continue to receive these after transition. No further action is required.
  • If you currently use Medicare Remit Easy Print or PC-Print software to print Medicare X12 835 remittance files, you may continue to use this software after J5 MAC implementation.
  • If you currently submit X12 276 (claim status request) and receive X12 277 (claim status response) transactions, you will continue to receive these after implementation. You will need to submit your X12 276 request files to the WPS BBS, and your response files will be placed in your BBS mailbox.
  • If you currently receive claim payments through Electronic Funds Transfer (EFT), WPS will be sending you a new EFT enrollment form (CMS-588) to be completed and returned to our office prior to EFT setup. You will need to re-enroll prior to initiation of EFT for J5 MAC claim payments.

Other Important EDI Information

Attention Kansas Part B, Nebraska Part B, Western Missouri Part B, and Kansas Part A MAC J5 Providers - Important EDI/EFT Reminders adobe portable format

Administrative Simplification Compliance Act (ASCA) (04/14/08)

Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update – Change Request (CR) 5942 adobe portable format document (05/29/08)

PC Print

Important EDI Implementation Updates

Healthcare Provider Taxonomy Codes (HPTC)

Claims Adjustment Reason Codes and Remittance Advice Remark Codes

CMS-1500 Crosswalk to ANSI X12 4010: HIPAA Electronic Claim Submission Requirements adobe portable format

Medicare Remit Easy Print (MREP) Billing Software

MCS 837 4010A1 Prepass Edits adobe portable format

ANSI X12N 8371 V4010A1 Companion Document - Kansas Part A adobe portable format document

EDI FAQs adobe portable format document

Electronic Funds Transfer Form

Contact EDI

Page Last Updated: Wednesday, 16-Jul-2008 10:06:13 CDT