Effective 4/1/2024 – Inclusa is extending the timely filing deadline from 90 days to 120 days for clean claims.

5/20/2024: New Claims & Billing Resources have been added below.

“Preventing Duplicate Claim Denials & Payments”

  • Purpose: To assist providers with preventing duplicate claim denials and duplicate payments. Following this guide will reduce the time spent reconciling, resubmitting, and/or correcting claims and avoid the need to submit refunds due to overpayments.

“Corrected Claim Tips”

  • Purpose: To support providers in completing and submitting a Corrected Claim Form to make corrections to a claim that has fully or partially paid.

Resources

Contact Information

Transportation Support Team

  • Transportation (All)

EmailACS-Transportation@inclusa.org
Phone:  1-888-544-9353, Option 4
Fax: 1-866-880-0551

DME/DMS/OTC Support Team

  • Adaptive Aids
  • Communication Aids
  • Disposable Medical Supplies (DMS)
  • Durable Medical Equipment (DME)
  • Environmental Accessible Adaptations (Home Modifications)
  • Over-the-Counter Medications (OTC)
  • Vehicle Modifications

EmailACS-DME-DMS-OTC@inclusa.org
Phone:  1-888-544-9353, Option 5
Fax: 1-866-880-0551

Residential/CSL/NH Support Team

  • Community Supported Living (CSL)
  • Nursing Homes
  • Residential Care (AFHs, CBRFs & RCACs
  • Respite Care

EmailACS-Residential-CSL-NH@inclusa.org
Phone:  1-888-544-9353, Option 6
Fax: 1-866-880-0551

SHC/SDS/Home Health/Therapy Support Team

  • Adult Day Care
  • Alcohol and Other Drug Abuse Treatment
  • Alternative Therapies
  • Case Management – External
  • Community Support Program (CSP)
  • Consultative Clinical/Therapeutic Services for Caregiver
  • Consumer Education and Training
  • Counseling & Therapeutic Resources
  • Daily Living Skills Training
  • Day Habilitation Services
  • Emergency Assistance to Obtain/Retain a Home
  • Financial Management Service (Rep Payee)
  • Home Delivered Meals
  • Home Health Care
  • Housing Counseling
  • Mental Health Services
  • Non-covered Family Care Services (Out of Benefit)
  • Occupational, Physical, Speech Therapy
  • Personal Care/Agency
  • Personal Emergency Response Systems
  • Pre-Vocational
  • Self‐Directed Supports (SDS)
  • Skilled Nursing Service – Independent/Private
  • Support Broker
  • Supported Employment
  • Supportive Home Care
  • Vocational Futures Planning & Support

EmailACS-SHC-SDS-HomeHealth@inclusa.org
Phone:  1-888-544-9353, Option 7
Fax: 1-866-880-0551

Provider Claim Appeals

  • Provider Claim Appeals

Emailproviderclaimappeal@inclusa.org
Phone:  1-888-544-9353, Option 8
Fax: 1-866-880-0551

Provider Claim Audits

  • Provider Audits
  • Income Verification
  • Provider Overpayments / Refunds

Emailaudit@inclusa.org
Phone:  1-888-544-9353, Option 8
Fax: 1-866-880-0551

Insurance Claims Specialist

  • Provider Medicare Denials
  • Provider Medicare Authorization Requests
  • Coordination of Benefits
  • Other Insurance Coverages

Email: insuranceclaimsspecialist@inclusa.org
Fax:  1-866-880-0551

WPS Provider Customer Support

WPS / Family Care Contact Center
1-800-223-6016 (8:00 a.m. – 4:30 p.m., M-F)

WPS EDI Help Desk
1-800-782-2680, Option 1

  • Online registration issues, password resets, login assistance
  • Missing files or other technical concerns
  • Validating claim acceptance by EDI/EDI rejection message assistance
    (rejected by EDI, not denied by WPS)

WPS EDI Marketing
1-800-782-2680, Option 2

  • Assistance with enrollment for claims submission, electronic remittance, and direct deposit (EFT)

WPS Website