WPSHI EDI CONNECTION

WPSHI COMMERICAL EDI CONNECTION
WPSHI EDI CONNECTION
Electronic Media Claims Approved Vendors (V), Billing Services (B), and
Clearinghouses(C)
WPSHI Commercial
The EDI Connection is a guide to billing services, clearinghouses, and software vendors for electronic claims.
The following firms have developed software programs for in-house computer billing and/or are billing services
who have tested and are approved to submit claims for WPSHI Commercial (including MCDFC, CCCW,
CLTS, HIRSP, RAKE, CONTINUUS, SFCA, LCD, VAPC3 (Veteran’s Administration) and ARISE) by
electronic media to WPS.
The listing should not be construed as recommendation or sponsorship by WPSHI for any organization that
appears on this listing. Specific services and financial arrangements must be made between vendor/billing
service/clearinghouse and provider/supplier. WPSHI will not be a party to any such arrangements. This listing
is arranged alphabetically, and is being provided to you solely for your convenience.
This directory is subject to change after the date of publication.
Company Name/Address,
and Phone Number
C
B
V
Contact
Person
Line of
Business
(WPSHI)
(ARISE)
(VAPC3)
05/15/14
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
Applied Computing
9036 N. Mexican Sage Pl.
Tucson, AZ 85742
520-297-1639 (Phone & Fax)
V
Don Murphy
WPSHI
P
Badger Billing Services, Inc.
11516 N.Port Wash. Rd. Suite.
107
Mequon, WI 53092-3441
(262)241-4030
B
Julie Demerath
or
Sheldon
WPSHI
P
Capario (formerly MedAvant)
1901 E Alton Ave, Ste 100
St. Anna, CA 92704
800-586-6938
[email protected]
C
WPSHI
P
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
Y
Y
Y
Y
*Submits to
Capario
Payer Advocacy
C:\Users\glic139\Desktop\New WPSHI EDI Connection 50814.doc
Approved by: Draft
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-1-
WPSHI COMMERICAL EDI CONNECTION
Company Name/Address,
and Phone Number
C
B
V
Contact
Person
Line of
Business
ClaimLynx
1730 Plymouth Road, Suite 300
Minnetonka, MN 55305
952-593-5969, Ext. 102
[email protected]
C
Russ Campbell
WPSHI
VAPC3
Consult,The/ECP
415 Greenwell Avenue
Cincinnati, OH 45238
(513)557-3220
B
V
Denise Humbert
or
Eric Schlesinger
Cortex EDI
1522 N. Raymond Avenue
Fullerton, CA 92831
(800)485-5977
C
Cvikota Company
2031 South 32nd Street
LaCrosse, WI 54601
(608)788-8103
B
V
Emdeon (formerly WebMD)
3055 Lebanon Pike, Suite 1000
Nashville, TN 37214
Office: 716-939-2073
Cell: 716-435-6199
Fax: 615-238-9620
[email protected]
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
P/I
Y
Y
WPSHI
VAPC3
P
Y
Y
WPSHI
P
Y
Y
Client Support
WPSHI
P
Y
Y
C
Jeremy Smith
WPSHI
VAPC3
P/I
Y
Y
EMEDIX (Healthport)
1401 Main Street, Ste 400
Columbia, SC 29201
803-231-5788
[email protected]
C
Robert Root
WPSHI
VAPC3
P/I
Y
ENS (Electronic Network
Systems)
1755 Telstar Drive, Suite 400
Colorado Springs, CO 80920
(719)277-7545,Option 2
C
Enrollment
WPSHI
P
Y
(WPSHI)
(ARISE)
(VAPC3)
GALIT
NACHSHON
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Approved by: Draft
Y
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-2-
WPSHI COMMERICAL EDI CONNECTION
Company Name/Address,
and Phone Number
Contact
Person
C
Karla Knicely,
Mgr.
kknicely@hewed
i.com
WPSHI
P
Ebix, Inc.
6400 Industrial Loop
Greendale, WI 53129
(414)423-4100
[email protected]
B
Shawn Amick
Brian Nelson
WPSHI
P
GHN Online
10210 N. Central Expressway
#110
Dallas, TX 75231
(214)696-5717
C
Cheryl Bates,
Ext. 569
David Cox, Ext.
514
WPSHI
P
Y
Y
Health Care Data Systems,
Inc.(99173)
N45W33490 Wisconsin Avenue
Nashotah, WI 53058
(262)369-3460
1-800-486-2273
[email protected]
C
B
Bill Conklin
WPSHI
P
Y
Y
Hugisoft, Inc.
313 84th Ave SE
Everett, WA 98205
(435)720-1887
V
John Hugie
WPSHI
P
Y
JDAE Health System.
1717 Park St., Ste 250
Naperville, Ill 60563
(630)355-5220, Ext. 0426
[email protected]
C
Neil Dudley
WPSHI
P
Y
Lindencrest Billing Service
618 A Paine Street
Kiel, WI 53042
(866)894-2827
(920)894-2827
B
WPSHI
P
ET & T / HEW
7125 E. Southern Ave. Ste. 101
P.O. Box 14150
Mesa, AZ 85216
(480)325-0901
Line of
Business
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
C
B
V
(WPSHI)
(ARISE)
(VAPC3)
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
Y
Y
** Note: when using physical
address use 85209 zip code.
[email protected]
[email protected]
*Submits to
Payerpath
Mary Bennin
Y
*Submits to
MCPS
C:\Users\glic139\Desktop\New WPSHI EDI Connection 50814.doc
Approved by: Draft
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-3-
WPSHI COMMERICAL EDI CONNECTION
Company Name/Address,
and Phone Number
Contact
Person
Lindsay Technical Consult, Inc.
42496 Lindsay Drive
North Mankato, MN 56003
(507)947-3070
(507)947-3077 (fax)
[email protected]
C
Gary Lindsay
WPSHI
P
Lakefront Billing
4555 W. Schroeder Dr. #170
Milwaukee, WI 53223
(414)365-3210 Ext. 142
[email protected]
B
MAREN
*Submits to
Claim Remedi
and ENS
WPSHI
P
MCPS, Inc.
1722 S. Glenstone, Suite WW
Springfield, MO 65804
417-890-6164
[email protected]
C
Richard Quimby
John Moody
WPSHI
McKesson (Relay Health)
301 Data Court
IADU-DC2
Dubuque, IA 52003
C
Contact your
software vendor
C
*Submits to
Payerpath
Misys
Line of
Business
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
C
B
V
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
y
y
P
Y
Y
WPSHI
P
Y
Y
WPSHI
P
WPSHI
P/I
Y
Y
(WPSHI)
(ARISE)
(VAPC3)
NDC Health (Relay Health)
One Warren Place
6100 S. Yale, Suite 1900
Tulsa, OK 74136-1903
800-852-0707
C
Jody Banks
Navicure, Inc.
Satellite Place
3237 Satellite Blvd. Bldg. 300
Duluth, GA 30096
770-342-0800
770-476-9332 (fax)
www.navicure.com
C
Tiffany Hartley
WPSHI
P
Y
Y
Netwerkes.com
N16 W24132 Prairie Court,S/170
Pewaukee, WI 53188
773-454-0276
C
Gregg Margrett
Greg.margrett@
netwerkes.com
WPSHI
P/I
Y
Y
C:\Users\glic139\Desktop\New WPSHI EDI Connection 50814.doc
Approved by: Draft
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-4-
WPSHI COMMERICAL EDI CONNECTION
Company Name/Address,
and Phone Number
Contact
Person
Office Ally
16703 SE McGillivray Blvd Ste
200
Vancouver, WA 98683
360-975-7000
[email protected]
C
Dan Waclawsky
WPSHI
VAPC3
P/I
PJW Certified Electronic Billing
3376 State Hwy. 13 N.
Wisconsin Rapids, WI 54495
715-423-0181, 715-421-9607
B
Patti Whitrock
WPSHI
P
Payerpath,Inc./A Misys Company
9030 Stony Point Pkwy. Suite
440
Richmond, WA 23235
804-327-4291
C
Christine
Mitchell
Enrollment
WPSHI
P/I
Y
Y
PerSe E-Commerce (Relay
Health)
725 A Tollgate Road, Suite A
Elgin, IL 60123
847-608-7100
C
Rick Touhey
WPSHI
P
Y
Y
B
Kathy Dekalb
WPSHI
P
WPSHI
VAPC3
P
Y
Y
WPSHI
P
Y
Y
Physicians Accounting
225 S
Line of
Business
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
C
B
V
(WPSHI)
(ARISE)
(VAPC3)
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
Y
*Submits to
Availity
262-787-4026, Ext. 171
[email protected]
om
Practice Insight LLC
2 E. Greenway Plaza Suite 1030
Houston, TX 77046
713-333-6000
C
Quantum Health Automation
201 NW 4th St., Ste. 103
Evansville, IN 47708
800-500-8747
C
Enrollment
Jason Burton
Relay Health (see McKesson,
NDC
Health, Per Se’ Technologies)
WPSHI
C:\Users\glic139\Desktop\New WPSHI EDI Connection 50814.doc
Approved by: Draft
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-5-
WPSHI COMMERICAL EDI CONNECTION
Company Name/Address,
and Phone Number
Line of
Business
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
C
B
V
Contact
Person
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
SSI – Medical Billing Service
4721 Morrison Drive, suite 100
Mobile, AL 36609
800-880-3032 Ext. 1215
B
Stan Claypool
WPSHI
P/I
Y
Y
Schenck Business Solutions
11716 W. Greenfield
West Allis, WI 53214
414-778-3860
B
Susan Koehne
WPSHI
P
Softactics, Inc.
226 W. Main Street
Ottumwa, IA 52501
641-684-4057
V
Mark Orwig
WPSHI
P
Y
Y
Software Expressions
14380 West Capitol Drive
Brookfield, WI 53005
262-827-7081, Option 4
V
Anne Vik
WPSHI
P
Y
Y
SVA Consulting SC
18650 W. Corporate Dr., Suite
200
Brookfield, WI 53045
262-641-6888
B
Carrie Clements
WPSHI
*Submits to
Emdeon
P
The SSI Group
4721 MORRISON DRIVE
Mobile, AL 36609
800-880-3032
[email protected]
C
Joan Kossow
WPSHI
P/I
Y
Trizetto Provider Solutions, LLC
(Previously Gateway EDI)
1 Financial Plaza
501 N. Broadway, 3rd Floor
St. Louis, MO 63102
800-969-3666, Ext. 1219
C
Linda Sheer
WPSHI
VAPC3
P/I
Y
Y
Techsoft, Inc.
900 Briggs Rd., Suite 410
Mt. Laurel, NJ 08054
856-642-7500, Ext. 102
V
Greg Tharney
WPSHI
P
Y
Y
(WPSHI)
(ARISE)
(VAPC3)
*Submits to
MCPS
C:\Users\glic139\Desktop\New WPSHI EDI Connection 50814.doc
Approved by: Draft
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-6-
WPSHI COMMERICAL EDI CONNECTION
Company Name/Address,
and Phone Number
C
B
V
Contact
Person
Line of
Business
Xactimed, Inc. (MedAssets)
901 International Pkwy, Suite
200
Richardson, TX 75081
214-382-2320
C
Tim Nguyen
WPSHI
ZirMed
801 W. Market St 5th Fl
Louisville KY 40202
C
Jim Langston
WPSHI
VAPC3
(WPSHI)
(ARISE)
(VAPC3)
X12 837 5010
A1 Claim
Submission
(P)Professional
(I)Institutional
X12 835
5010
Capabilities
Y = Yes
Blank = No
WPS
Secondary
Claim
Submission
Capabilities
Y = Yes
Blank = No
P/I
Y
Y
P/I
Y
Y
Wisconsin Physician Service Electronic Data Services
P.O. Box 8128
Madison, WI 53708-8128
Ph:1-800-782-2680 Option #2 Fax:1-608-223-3824 [email protected]
https://www.wpsic.com/edi/files/edi_connection.pdf
C:\Users\glic139\Desktop\New WPSHI EDI Connection 50814.doc
Approved by: Draft
Created by Marcia Green on 05/19/2014
Last Revised on 05/29/2014
-7-