Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10868 - Payer ID
11181 - Payer ID
95937 - Payer ID
ARISE - Payer ID
WPS - Also listed as Arise Health Plan
- Also listed as WPS Optum Health
- Also listed as Wisconsin Physicians Service Health Plan
Coverage states
Illinois, Wisconsin.
Workflow guidance
- Use 270/271 for standard eligibility and benefits checks; do not expect a coordination-of-benefits 271 response from this payer.
- Submit professional services through 837P. Plan a separate process for institutional and dental claims.
- Use 276/277 to check claim status when status information is needed.
- Because ERA and EFT are unavailable, arrange remittance review and payment posting through a separate approved workflow.
- No payer enrollment step is required for the supported electronic transactions.
Common questions
Can I check claim status electronically with this payer?
Yes. Hero EMR supports electronic claim status inquiries and responses using 276/277 transactions.
Can I verify eligibility and benefits electronically?
Yes, standard eligibility and benefits checks use 270/271 transactions. Coordination-of-benefits 271 transactions are not supported.
Can I submit professional claims electronically?
Yes, professional claims can be submitted using 837P. Institutional 837I and dental 837D claims are not supported.
Does this payer support ERA, EFT, or payer enrollment?
ERA 835, EFT, and combined ERA/EFT are not supported, and none of the supported transactions require payer enrollment first.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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