Coverage profile
How Substrate can help you with WPS Health Plan
Substrate can help practices and billers with the following claims tasks for WPS Health Plan.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with WPS Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with WPS Health Plan.
Frequently asked questions
WPS Health Plan payer FAQs
How do I check claim status with WPS Health Plan?
Providers check WPS Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for WPS Health Plan?
The primary payer ID for WPS Health Plan is 39185. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the 837P payer ID for WPS Health Plan?
The 837P payer ID for WPS Health Plan is 39185 via Stedi.
What is the 270 payer ID for WPS Health Plan?
The 270 payer IDs for WPS Health Plan are 39185 via Stedi and 39185 via Availity.
What is the 276 payer ID for WPS Health Plan?
The 276 payer IDs for WPS Health Plan are 39185 via Stedi and 39185 via Availity.
What states does WPS Health Plan operate in?
WPS Health Plan operates in IL and WI.
Routing reference
WPS Health Plan payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | WPS Health Plan |
|---|---|
| Operating states | IL, WI |
| 837P professional claims payer IDStedi | 39185 |
| 270 eligibility payer IDStedi | 39185 |
| 270 eligibility payer IDAvaility | 39185 |
| 276 claim status payer IDStedi | 39185 |
| 276 claim status payer IDAvaility | 39185 |
Other aliases
Also known as
- 10868
- 11181
- 39185
- 95937
- ARISE
- WPS
- Arise Health Plan
- WPS Optum Health
- Wisconsin Physicians Service Health Plan
- PREVEA