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All paper claims should be mailed to:
Family Carec/o WPS Health InsurancePO Box 211595Eagan, MN 55121
Providers can submit paper claims using the standard HCFA 1500, UB04, or the Community Link paper claim form. WPS will not accept any other type of paper claim form. Unacceptable claim forms will be returned to the provider to submit on the appropriate claim form.
Click the button below for the Community Link claim form. Line-by-line instructions are included with the form. This form should be used for dates of service on or after January 1, 2017.
Community Link Claim Form
For dates of service prior to January 1, 2017, please use the ContinuUs paper claim form. Claims for Physical, Occupational, and Speech therapy services for dates of service prior to 01/01/2017 should be mailed to: Community Link, Inc., attn: Claims Dept., 28526 US Hwy 14, Lone Rock, WI 53556.
ContinuUs Claim Form
All claims previously billed to a third-party payer must be submitted to WPS on a paper claim form with a copy of the Remittance Advice/Explanation of Benefits (EOB) or Explanation of Medicare Benefits (EOMB) attached. If there is an EOB/EOMB that has multiple members on it, each claim submitted needs a copy of the EOB/EOMB attached.
See Third-Party Payer Claims and Disclaimer Codes for more detail.
Administration Office28526 US Hwy 14Lone Rock, WI 53556P: 608-647-4729 F: 608-647-4754