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PC-ACE Claim Filing Options

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Claim Entry Software

PC-ACE is a 'stand-alone' software package that creates a patient database and allows your office to electronically submit most WPS Health Insurance, Medicare MAC J5 and J8 Parts A & B, Medicare J5 National Part A, TRICARE For Life Direct, and TRICARE Foreign claims electronically.

PC-ACE Communication Documentation

Claims Submission Methods

  • WPS Bulletin Board System (BBS) asynchronous telecommunications. This method requires using a modem to connect to the WPS BBS.
  • WPS Secure-EDI(WPS Health Plan, TRICARE, Veterans Administration Patient-Centered Community Care (VAPC3) and WPS Health Insurance): This method will allow secure FTP file transfer using your web browser.
  • Gateway Express (All lines of business). This method provides a secure connection for all Trading Partners to transmit and receive data, using a web-browser-based interface.

Claim Submission

If you are interested in obtaining PC-ACE software to submit claims directly to WPS, it is available for download on this website. If you are a new submitter, you also will need to register for a WPS Trading Partner number, complete an EDI Agreement, and download the Full Install of PC-ACE V5.0. Existing PC-ACE users, please download V5.0 upgrade instead of full install. If you need further assistance, please contact WPS Electronic Data Services Department.

PC-ACE Communication Documentation

Medicare MAC J5 Parts A and B (IA, KS, MO, NE) and J5 National Part A
Toll-free: 866-518-3285

Medicare MAC J8 Part A and B (MI, IN)
Toll-free: 866-234-7331

TRICARE For Life Direct, TRICARE Overseas Program, and WPS Health Insurance
Toll-free: 800-782-2680, (Option #2)

PC-ACE Full Installation V5.0

(If you do not have any version of PC-ACE on your PC)

PC-ACE Upgrade to V5.0

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(If you currently have a version of PC-ACE on your PC)

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  • Download the PC-ACE upgrade to version V5.0
    Note: You must first quit PC-ACE in order to install the upgrade.

PC-ACE Version V5.0 Change Summary

Pdf Wps Download

Medicare, TRICARE, WPS Health Plan, VAPC3, and WPS Health Insurance

Family Care and Bureau of Long-Term Support (BLTS) Programs