Tricare For Life & Tricare East: WPS

Please follow the Enrollment Instructions below to become an electronic submitter to Tricare East or Tricare for Life, via WPS.

 

WPS recently implemented their new WPS EDI Express Enrollment Self-Service tool for Trading Partner enrollment and management. This will allow you to create your own account, register your line of business and transactions, and retrieve and submit agreements. 

 

Initial Enrollment (Claims)

Please click the following link to begin registration: https://edi.wpsic.com/edir/home

  • Click "Enroll Now" under Providers if you are a healthcare provider

    • If you are a Billing Service please give us a call at 602-439-2525 for assistance registering 

  • Select 5010 837 Institutional Claim Inbound if you are going to be sending Institutional Claims (UB-04)

  • Select 5010 837 Professional Claim Inbound if you are going to be sending Professional Claims (CMS 1500)

    • ​You can only register for one transaction at a time. We recommend starting with claims, then going back later to turn on remits (835's)

  • On the next screen, please select "I Don't use a clearinghouse/billing agency"

  • Click "Register Now" to begin registration for a WPS Community Manager account

  • On the following screen, under "Step 1", you must click the link that says "Click here to register with WPS community manager"

  • In the new tab that opens, please click "Start Registering"

  • Next, please enter your company name with no unnecessary symbols (exclude commas and periods)

  • Please enter your email address

  • Enter the Captcha displayed for security purposes then click "Next"

  • On the following screen please enter your company address, phone, fax and email

  • Do not enter anything for web URL

  • Please enter the primary legal and support contact information then press "Next" to continue

  • For the "Document Types to Exchange" please only check off "X12" then press "Finish Registration"

  • Review the Registration Summary for accuracy then click "Confirm and Submit"

  • You should receive an email confirming they have received your request and it is pending approval

    • Within 3 business days, you will get another email from CommunityManager@wpsic.com that gives you a link to set your password for Community Manager

    • Please click the link and set your password with the following requirements:

      • ​Exactly 9 characters long with at least one upper case, lower case, a number and a symbol

      • Please keep this information as it will need to be given to your SolAce representative after you finish registration

    • If you do not get the subsequent email, please call SolAce for assistance setting your Community Manager Password

  • You can now go back to EDI Express enrollment to finish registration

  • Return to the first tab, press "Continue" and enter your email address in Step 2 then press "Validate"

    • ​If you closed that tab or it timed out, please repeat the steps above until you get to the "WPS Community Manager" screen and instead of selecting "Register Now", enter your WCM Username/Email and the Password you created then press "Login"

  • If necessary, re-enter the email and press "Continue Enrollment"

  • Please enter your Tax ID, Company Name (make sure it matches what you entered when registering for Community Manager), Address, and Contact Info

  • On the following screen, please click "Sign & Submit" to submit the Connectivity Agreement

  • Electronically sign the agreement by entering your name and pressing "Sign Agreement"

  • On the following screen press the button to "Auto Assign a Direct Submitter Trading Partner ID"

    • ​The screen will now display your Trading Partner ID. Please write this down to give to your SolAce representative during setup/testing

  • Next, check the box for "TRICARE East" or "TRICARE For Life"

  • Please press Continue on the Mock Agreements screen

  • Please re-enter your Tax ID and Group/Billing NPI

    • ​No need to enter rendering NPI's, only the Group/Billing is required

  • Please enter Contact, Business, and Mailing information then press "Next"

  • On the EDI Registration Summary page, if you want to also sign up for Electronic Remittance Advice (ERA's), click "Add Transaction"

    • ​Select 5010 835 Remit Outbound

    • Re-enter your company's Tax ID and Billing/Group NPI

    • Enter today's date for the effective date then press "Next"

    • Click "Use this Data

  • Please check the box to "Agree", then Sign, and e-sign the agreement

  • If you have added multiple transactions you will need to repeat this step

  • Once done, check the boxes next to "I agree" then press "Done>> Sign Selected Agreements"

  • Click "Complete and Submit" on the right to submit your entire application

  • Please click "No Thanks, I'm Done" once your submission is complete

 

 

 

Testing


Once you have completed the enrollment steps outlined above and have your Submitter ID, Community Manager Login ID, and Community Manager Password, please call SolAce at 602-439-2525 to complete the mailbox setup and test submission. Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

 

Once testing is complete, the "Line of Business/Transaction Production Approval Form" must be completed in order to obtain production approval. We will assist you with completing and submitting this form once the test batch has been submitted.

 

You will receive an email within 3-5 business days stating whether production approval has been granted or denied. Once you have been granted production approval you will need to contact your SolAce Support Representative so they can finish the setup and assist with your first production batch.

 

 

Please Note: Tricare East is also available via the Availity Clearinghouse. If you are interested in sending via Availity, please click this link for enrollment instructions and to obtain an Availity account: http://www.solace-emc.com/availity-clearinghouse

 

Additional enrollment is required to link to Availity's WPS Trading Partner ID prior to sending claims to Tricare East. You must call them directly for assistance with that step.

 

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customers From our customers

I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.

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SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.

Susie Doran Carter, Westcare Management, Inc.
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I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.

Carolyn Boles
From the office of Donald J. Boles Jr. MD PC
Tempe, AZ

SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.

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THE WYNN GROUP, INC
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