Claims Submission Options

Lakeland Care providers have two methods of submitting electronic claims to WPS:

 

Providers may submit a claim via Electronic Data Interchange (EDI) either through a clearing house or by using WPS’ claim entry software PC-Ace Pro 32 and MoveIT account (both are free). The EDI application is available here and on the WPS web site. For assistance, Providers may contact WPS’ EDI Team’s toll free number (800) 782-2680, option 2.

 

The WPS Excel spreadsheet can be requested at http://www.wpsic.com/edi/familycare/lcd.shtml, by sending an email to FCWPS@wpsic.com, or calling the WPS’ EDI Team’s toll free number (800) 782-2680, option 2.

 

  • CMS-1500 (Please note the additional requirements below.)
    • Authorization Numbers(s) in BOX 23
    • One authorization number per code
    • Bill with service code from the Service Authorization Form

 

  •  UB-04 (Please note the additional requirements below.)
    • Authorization number(s) in BOX 63
    • One authorization number per code
    • Bill with service code from service Authorization Form

 

 

Exception – for Medicare Coinsurance claims, the original UB-04 submitted to Medicare may be used, however an authorization code for each Lakeland Care covered service must be entered in BOX 63.