Wisconsin Medical

Medicare of Wisconsin  

  • Direct- WPS Part B Legacy  
  • Needs to be entered in Claimstaker
  • Submitter ID: 17680
  • Payer ID – 00951
  • Fax to WPS Medicare EDI at 618-998-5170
  • Attach Cover Sheet- attention to EDI Department
  • Approval Time- 10 Business days

Medicare Enrollment Form

Change of Submitter Form

ERA Enrollment Form

Medicaid of Wisconsin

  • Emdeon Link
  • Needs to be entered into GEMS
  • Complete Enrollment in Claimstaker
  • No Enrollment Forms
  • Provider Enrollment questions should be directed to Medicaid of Wisconsin Provider Helpdesk at 800-947-9627
  • Payer ID – SKWI0

 

BCBS of Wisconsin

  • Emdeon Link
  • Needs to be entered into GEMS
  • No enrollment forms
  • Payer ID – SB950

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region B)
  • ASHN

National Enrollment Forms