Palmetto Prepares for WPS Transition

On April 19, some providers currently serviced by Wisconsin Physician Service (WPS) will transition to jurisdiction 1 (J1), administered by Part A and Part B Medicare Administrative Contractor (A/B MAC) Palmetto GBA.

Most Part A providers affected by this transition are located in California, Nevada, Hawaii, Guam, American Samoa, and the Northern Mariana Islands.

Palmetto provides the following Part A/B MAC  services:

  • Claims processing
  • Provider audit and reimbursement activities
  • Provider enrollment activities
  • Customer service via the provider contact center
  • Redetermination requests
  • Education needs of the provider community

Palmetto recently sent a letter to providers who currently submit Part A claims to WPS, explaining the transition process for claim submission, electronic data interchange (EDI) enrollment, electronic remittances, ANSI 266/267 claims request/response, and more.

Visit Palmetto’s website for further assistance on transitioning from WPS to Palmetto GBA. See also Centers for Medicare & Medicaid Services (CMS) Transmittal 619, CR6773, issued Jan. 8.

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