EDI Testing Requirements (Trading Partners) EDI Testing – WPS Health Solutions follows CMS testing requirements. Main requirements are the following: 25 claim minimum ISA14 Strongly encourage to use a 1 or a TA1 will not generate ISA15 must = T for testing 100% Syntax 95% Medicare business rules Submitter is considered in test until approved … Read More →
EDI Set-Up WPS Trading Partners (Using Third-Party Service) EDI Set-Up WPS Trading Partners requires Internet Aaccess for EDI Set-Up and electronic claims submission. If providers elect to submit/receive transactions electronically using a third party such as a billing agent, a clearinghouse or network services vendor, they are required to have an agreement signed by that … Read More →
EDI Set-Up For WPS Trading Partners EDI Set-Up for new direct submitters that will submit EDI claims directly to WPS state that they will need to complete a self-registration process on the WPS Community Manager System to prepare for 5010 testing and production claim submission. Internet Access is required for EDI Set-Up and electronic claims submission. As … Read More →