Duplicate Remittance Advice Requests

Providers that need to obtain a duplicate remittance advice (RA) will have the following options for obtaining duplicate electronic or paper copies:

  1. Providers that receive Electronic Remittance Advices (ERAs) have up to thirty days from the original ERA date to contact the Electronic Data Interchange (EDI) Area and request a duplicate electronic copy of their ERA. They can request this by calling the EDI Hotline at (866) 734-6656.

    If the ERA is over 30 days old, we will not be able to provide an electronic copy. Instead, providers on ERA will have to mail or fax a request for a paper copy of their ERA. Providers can fax their duplicate remittance advice request to (402) 995-0604 or mail their request to the address listed above.

    WPS Insurance Company
    Medicare Administration
    P.O. Box 1602
    Omaha, NE 68101
    FAX (402) 995-0604

  2. Providers that receive a paper remittance advice should mail or fax their requests for duplicate remittance advices to the address listed above .
  3. Requests mailed and faxed must contain the following information:
    1. Provider number
    2. Provider name
    3. Requestor's name
    4. Provider's phone number
    5. RA date

    We are not able to fax the requested RA back to providers. It will be mailed to the Remittance Advice (RA) address within the Fiscal Intermediary Standard System (FISS).

    CMS regulations allow contractors 45 business days to respond to written inquiries. Depending on current workloads, your request may be handled sooner.

    Page Last Updated: Friday, 15-Jul-2011 15:29:33 CDT