FALL 2024

Doctor's note

Greetings to all, 

In our commitment to quality, WPS revises its medical policies each year. For these updates and revisions, WPS relies on evidence-based sources as well as consultations with several practicing specialists in the community to appropriately reflect changing medical practices. In addition to annual revisions, WPS also develops new medical policies. We recently developed a medical policy for Air Ambulance Services; details are included in this issue’s Medical Policy Update article.

We are currently developing a new, comprehensive medical policy for Genetic Testing. New and revised medical policies are featured in each issue of WPS Provider Network News and may also be accessed at WPS Health Insurance Medical Policy Updates. Any questions or concerns may be voiced at medical.policies@wpsic.com or 800-333-5003, extension 06984.

As always, we are grateful for the commitments each of you make to your patients (and our members). For any concerns or questions, please contact me at Kevin.Rak@wpsic.com.

Kevin M. Rak

Medical Director

WPS

WPS, a health solutions company. A new look with the same commitment

Building on our rich history of innovation and compassion, we are continuing our pursuit of delivering new and better solutions for active-duty and retired military members, senior citizens, employee groups, and all they serve. WPS also remains dedicated to working effectively with business partners like you to ensure our mutual success.

The process to change over to the new brand will take several months. Until the

updates are complete, you may see both old and new branding in the market.

Doing the right thing has been a hallmark of WPS business for decades. Our look and logo have changed, but the commitment to doing things the right way remains stronger than ever. For more information, please visit wpshealthsolutions.com.

Have questions about things like when you can expect to see branding changes or when logos will be changing on member ID cards? We’ve prepared resources to help answer questions like these. 



You don't have to call for patient eligibility and claims status

Do you currently verify a patient’s eligibility or claim status by phone? Did you know you can do this online using electronic transactions—and save time and money by doing so? Talk to your vendor about your system’s capabilities. Your vendor may provide hardware, software, and/or ongoing support for a total office automation or submission of EDI transactions. For a list of approved vendors, billing services, and clearinghouses please reference the WPS Health Insurance EDI Connection.

With EDI, you can:

• Lower administrative, postage, and handling costs.
• Maintain investment in your billing system.
• Avoid payment delays or interruptions.
• Waste less time on the phone checking eligibility.
• Lower operating cost of verifying eligibility.
• Receive payments more quickly.
• Endure fewer reviews.

WPS can be your single point of contact for EDI support that’s accurate, timely, and available through a variety of channels. The EDI Help Desk provides front-line support regarding basic EDI information and troubleshooting.

You can reach the EDI Help Desk at 800-782-2680 option 1, option 6; Monday–Friday, 8 a.m.–4:30 p.m. CT.



Medical Policy Updates and Review

The Medical Policy Committee recently met and approved the medical policies due for annual review. Click here to view the revisions to medical policies. 

Please be sure all doctors, other clinical staff, and office staff are aware of these changes before submitting requests for coverage. We ask that you share these policy changes with providers who may be ordering or performing services and clinicians who may be referring patients for services.

The complete library of our medical policies can be found at WPS Medical Policy Updates on our website; no password required. A technology assessment process is applied to the development of new medical policies and review of existing policies.

Policies are reviewed annually, or sooner when there is a significant change reported in the scientific evidence. Published scientific evidence, clinical updates, and professional organization guidelines are reviewed throughout the year, so you can forward a published article at any time.  

We value practitioner input regarding the content of our Medical Policies. If you have published scientific literature you would like to have considered or have questions or comments about policies, please forward them to our Medical Policy editor at medical.policies@wpsic.com or 800-333-5003, ext. 06984.

2024 holiday schedule

Even though our offices will be closed on the following dates, you can still access benefits, patient information, claim status, and other key information via our provider portal.

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