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Appeals (866) 518-3285, option 3 7:00 am to 5:00 pm CT M-F Iowa WPS GHA Appeals Department P.O. Box 7665 Madison, WI Kansas WPS GHA Appeals Department P.O.
Box 7576 Madison, WI Missouri WPS GHA Appeals Department P.O. Box 8890 Madison, WI Nebraska WPS GHA Appeals Department P.O.
Box 8799 Madison, WI J5 National WPS GHA Appeals Department P.O. Customer Service (866) 518-3285 7:00 am to 5:00 pm CT M-F Mail general correspondence related to Medicare: Iowa WPS GHA General Correspondence P.O. Box 7665 Madison, WI Kansas WPS GHA General Correspondence P.O. Box 7576 Madison, WI Missouri WPS GHA General Correspondence P.O. Box 8890 Madison, WI Nebraska WPS GHA General Correspondence P.O.
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Box 8799 Madison, WI J5 National WPS GHA General Correspondence P. O. Box 7861 Madison, WI Inquiries related to: - Medicare billing, coverage and claims processing - EDI support for EDI systems, software, claims, and financial - Provider Enrollment process, forms and application status - Appeals process and activities - Privacy practices Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available. Inquiries related to: - Medicare billing, coverage and claims processing - EDI support for EDI systems, software, claims, and financial - Provider Enrollment process, forms and application status - Appeals process and activities - Privacy practices Please Include your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and the last 5 digits of your Tax Identification Number (TIN) available. Iowa WPS GHA General Correspondence P.O. Box 7665 Madison, WI Kansas WPS GHA General Correspondence P.O. Box 7576 Madison, WI Missouri WPS GHA General Correspondence P.O. Box 8890 Madison, WI Nebraska WPS GHA General Correspondence P.O.
Box 8799 Madison, WI J5 National WPS GHA General Correspondence P.O. Box 7861 Madison, WI.
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Inquiries and support for Form CMS-588 Electronic Funds Transfer (EFT) and tax documents (W-9 and 1099). (866) 518-3285 7:00 am to 5:00 pm CT M-F Select option 5 for general inquiries then option 2 for EFT and tax documents Fax: (608) 223-7560 Email: Mail CMS-588, Electronic Funds Transfer (EFT) forms without a CMS-855 Provider Enrollment form: WPS GHA Financial Reporting P.O.
Box 8680 Madison, WI When using a delivery service: WPS GHA Financial Reporting 1717 W. Broadway Madison, WI 53713. Medicare Secondary Payer (MSP) Overpayments/Credit Balances Inquiries regarding voluntary and involuntary refunds to Medicare - MSP Related.
(866) 518-3285 7:00 am to 5:00 pm CT M-Fri Email: Overpayment Notification/Refund Form – If overpayment notification only, please fax to: (608) 223-7550 If sending a refund- please mail to: WPS GHA PO Box 8550 Madison WI Overpayment Inquiry Form – please fax to (608) 223-7550 or mail to: WPS GHA PO Box 8550, Madison WI Credit Balance Reports – please fax to (608) 223-7550 or mail to: WPS GHA PO Box 8550, Madison WI. Provider Reimbursement Inquiries regarding provider reimbursements, such as overpayment and underpayment activity. (866) 518-3285 7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-Fri Email: Mail checks for which you have received a demand letter: WPS GHA Financial Department P.O. Box 8788 Madison, WI When using a delivery service: WPS GHA Financial Department 1717 W. Broadway Madison, WI Mail checks for voluntary refunds: WPS GHA Financial Department P.O.
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Box 8550 Madison, WI Mail inquiries relating to overpayment and underpayment determinations: WPS GHA Provider Reimbursement P.O. Box 8696 Madison, WI When using a delivery service: WPS GHA 1717 West Broadway Madison, WI. Claim Corrections/Reopenings Telephone Clerical Error Reopenings for Minor Clerical Issues and Minor Omissions (866) 518-3285, option 4 7:00 am to 5:00 pm CT, M-F Please have your National Provider Identifier (NPI), Provider Transaction Access Number (PTAN) and the last 5 digits of your Tax Identification Number (TIN) available. Mail requests for a written reopening of a claim: Iowa WPS GHA Reopenings Department P.O. Box 8550 Madison, WI 53708 Kansas WPS GHA Reopenings Department P.O. Box 7238 Madison, WI 53707 Missouri WPS GHA Reopenings Department P.O. Box 14260 Madison, WI Nebraska WPS GHA Reopenings Department P.O.