EDI Mapping Guides For WPS Health Solutions: Control Segments / Envelopes EDI Mapping Guides require that Interchange Control (ISA/IEA), Function Group (GS/GE), and Transaction (ST/SE) envelopes must be used as described in the national implementation guides. Medicare’s expectations for inbound ISAs and a description of data on outbound ISAs are detailed in this EDI Mapping Guides post. … Read More →
EDI Communication Protocols (WPS Health Solutions) EDI Communication Protocols recommended for WPS Health Solutions EDI exchange are listed and described in today’s blog post. The implementation of WPS Community Manager provides new options for EDI Communication Protocols. WPS Gateway Express provides a secure web-based access for Trading Partners, so that the external users associated with these … 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 →
WPS Medicare EDI Program Basic Overview WPS Medicare EDI guidelines provide trading partners with the information they need to exchange EDI data with WPS Medicare. An Electronic Data Interchange (EDI) Trading Partner is defined as any Medicare customer (e.g., provider/supplier, billing service, clearinghouse or software vendor) that transmits to or receives electronic data from Medicare. EDI addresses … Read More →