WPS Government Health Administrators Medicare — Jurisdiction 5
MedicareAlso covers: WPS GHA, WPS, J5, Jurisdiction 5
Payer ID
Varies — confirm via portal / clearinghouse
A/B MAC Jurisdiction 5 — Iowa, Kansas, Missouri, and Nebraska. EDI payer IDs vary by transaction and clearinghouse.
Timely Filing Limit (TFL)
1 calendar year from date of service (Medicare FFS statutory limit)
Appeal Window
Redetermination: 120 days from receipt of the Remittance Advice / initial determination
Clearinghouse
Varies — confirm via portal / clearinghouse
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.wpsgha.com/
WPS GHA is the MAC for Jurisdiction 5, covering IA, KS, MO, and NE.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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